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Patient cases

Immediate implant and immediate loading in the esthetic zone

Dr. Roberto Sleiter shares a case of a patient needing to restore her upper central incisor due to a fracture. See in detail how he approached the case and how he met the high demands of the patient.

Immediate implant placement
Immediate loading / provisionalization
Esthetic zone prosthetics
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Patient cases

Complex treatment of the anterior zone combining implant and orthodontic therapy

In this patient case, Dr Fabbri shows the complex treatment of the esthetic zone with a combined treatment of implant therapy, using the guided pilot drill approach, and orthodontic treatment. 

Guided Surgery
Anterior implants
Immediate implant placement
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Patient cases

Treatment of a fractured root using dynamic navigated surgery by Dr. Luca De Stavola

An 80-year-old female patient presents a fractured root on a distal fixed bridge element in the posterior maxilla. The case is solved with immediate flapless implant placement using dynamic navigated surgery of mesially tilted implants and immediate provisionalization.

Digital workflow
Guided Surgery
Immediate implant placement
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Patient cases

Treatment of multiple gingival recessions

A patient with multiple maxilla recessions, all attributable to an incongruous brushing complaining of an aesthetic deficit and radicular sensitivity. Composite reconstructions were performed in surgical procedures prior to surgery and collagen membrane.

Soft tissue management
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Patient cases

Gingival recession coverage with a xenogenic collagen matrix

 A 37-year-old patient, non-smoker and with absence of relevant systemic pathologies presented to the dental office with an esthetic gingival deficit and dentinal sensibility of the elements #16, #22, #24, #25 and #26 FDI (#3, #10, #12, #13, #14 and #15 US).

Soft tissue management
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Patient cases

Maxillary central incisor: Immediate implant placement and periodontal plastic surgery

A 37-year-old female patient presented with 5mm periodontal pocket in right central incisor with moderate periodontal inflammation. After CBCT scan was discovered external root resorption in the buccal aspect which condemned this element.

Esthetic zone prosthetics
Immediate implant placement
Anterior implants
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Patient cases

Management of an iatrogenic case following traumatic tooth extraction, bone graft and implant failure

A 30-year-old female patient who lost tooth #13 FDI (#6 US). She reported the traumatic extraction of the canine, which resulted in a significant vertical bone loss of 3 mm and an advanced horizontal lingual defect.

Anterior implants
Bone grafting and regeneration
Soft tissue management
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Patient cases

Two Stage Implant Placement for a Failing Central Incisor with Ankylosis to Labial Bone Plate.

A 45-year-old female patient who was referred re-failing post crown in tooth #21 FDI (#9 US), multiple failed veneers, generalized tooth wear and loss of OVD. The treatment involved the extraction of the root and immediate implant placement with a Connective Tissue Graft.

Anterior implants
Implants in compromised sites
Bone grafting and regeneration
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Patient cases

Guided Bone Regeneration next to mucogingival deformities: a minimally invasive surgical approach.

A 55-year-old female patient with missing maxillary premolars, class IV recession on the adjacent tooth, pneumatized sinus. She was treated with simultaneous sinus elevation, implant placement, guided bone regeneration, and soft tissue grafting.

Radiology
Posterior implants
Implants in compromised sites
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Patient cases

Restoration of a ‘Failing’ Tooth with an Implant in the Aesthetic Zone

A 41-year-old female patient with a failing post crown in tooth #21 FDI (#9 US) with root fracture and infection, the treatment involved implant placement with GBR and soft tissue augmentation. 

CAD/CAM
Immediate implant placement
Anterior implants
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Patient cases

Immediate Implant Placement and Provisionalization of the central incisors

A 26-year-old female patient is treated following the "MeteenDoor"- protocol. This Dutch protocol includes the placement of a bone substitute simultaneously with Immediate Implant Placement and Provisionalization (IIPP) reducing the horizontal buccal bone changes.

CAD/CAM
Immediate implant placement
Anterior implants
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Patient cases

Horizontal and vertical ridge augmentation of a knife-edge ridge

A 54-year-old man presented with missing right lower teeth and ridge deficiency. Horizontal and vertical augmentation by GBR (Guided Bone Regeneration) was carried out using the “Tenting Screw Technique”. Two implants and a free gingival graft were placed.

CAD/CAM
Posterior implants
Implants in compromised sites
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Patient cases

Multi-disciplinary rehabilitation of an agenesic upper lateral incisor

A 53-year-old female patient with #22 FDI (#10 US), which was endodontically treated and discolored, was esthetically unpleasing. The tooth was hopeless due to root fracture. A treatment plan was formulated to replace the non-vital tooth with an implant.

Radiology
Anterior implants
Soft tissue management
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Patient cases

A novel approach for soft tissue management in the anterior region

A 33-year-old male patient's chief complaint was a missing lateral incisor which had been extracted several years earlier. A one-stage implant procedure simultaneous to connective tissue grafting and the use of a slim healing abutment was planned.

CAD/CAM
Anterior implants
Soft tissue management
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Patient cases

Implant placement in a patient with congenitally missing upper lateral incisors

A 40-year-old male patient presented with agenesis of both upper lateral incisors and a Class III skeletal malocclusion. The treatment selected was: Orthodontic treatment, Implant placement #12 and #22 FDI  (#7 and #10 US).

Radiology
Anterior implants
Soft tissue management