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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 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

The Angulated Screw Channel (ASC) System for Replacement of Two Maxillary Central Incisors

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. 

CAD/CAM
Anterior implants
Prosthetic materials
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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

Screw retained fixed partial restorations over implants in a young patient diagnosed with Ectodermal Dysplasia.

A 18-year-old female patient diagnosed with Ectodermal Dysplasia at a young age. Presented aplasias in upper and lower jaw, primary teeth persisting, low smile line, deep bite. The treatment involved implant placement, angulated and straight Multi-Unit Abutments.

CAD/CAM
Prosthetic materials
Implant prosthetics
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Patient cases

Multidisciplinary treatment of congenitally missing maxillary lateral incisors.

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.

Guided Surgery
CAD/CAM
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

Immediate implant placement to replace deciduous teeth followed by orthodontic treatment.

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.

CAD/CAM
Immediate implant placement
Posterior 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

Implant placement due to root fracture of a non-vital tooth

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.

CAD/CAM
Anterior implants
Implants in compromised sites