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 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.
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.
A 35-year-old male patient who lost teeth #11 and #21 FDI (#8 and #9 US). The treatment was based on the angulated screw channel (ASC) system and involved placement of two screw-retained single units and two Nobel Active Implants.
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 19-year-old female patient with multiple aplasias, substantial vertical overlap (overbite), and a medium-to-high smile line. She received Nobel Active 3.5 (13 mm) implants and simultaneous bone augmentation with a bone substitute on her lateral 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.
A 32-year-old patient with missing central and lateral incisor presented significant loss of hard and soft tissues, and the midline deviated to the left. A Porcelain-fused-to-metal crown over implant with a GBR and a collagen membrane on #21 FDI (#9 US) was chosen.
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.
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.
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.
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).
A 55-year-old male patient desired replacement of a previously extracted, missing lower canine #43 FDI (#27 US) which had not been previously restored. The treatment option was the placement of an implant with horizontal and vertical bone augmentation.
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.