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. 

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.

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. 

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.

A 26-year-old female patient wanted to have her teeth straightened. This clinical case describes the extractions of the lower deciduous second molars, followed by immediate implant placement. After the completion of the orthodontic treatment the final restorations were placed.

A 29-year-old male patient presented himself after a traumatic injury with nonspecific pain in the maxillary front area. Tooth #11 FDI (#8 US) showed only little discomforting response to percussion. the patient opted for an implant-based prosthodontic restoration.

A 28-year-old female patient was referred by an endodontist. The root showed signs of resorption and a long-term survival was questionable. The tooth had to be removed and an immediate implant with an adjacent muco-gingival surgery was placed. 

A 68-year-old female patient with an initial crown preparation that was extended to the bone level. The tooth was extracted and an implant placed. The mucosal recession was experienced due to bone loss associated with cracked root.

A 21-year-old female patient presented with a fractured anterior incisor #11 FDI (#8 US). Pre-operative 3D-CT showed an intact buccal bone plate. The incisor had to be extracted, an immediate implant and an immediate provisional restoration were placed the same day.

A 63-year-old female patient's chief complaint was the severe impact on function and chewing following extensive periodontal breakdown associated with significant mobility of numerous teeth. A full mouth rehabilitation over implants was the option selected.