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 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 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 50-year-old female patient with a strong fear of the dentist. A full-mouth rehabilitation of the maxilla with implants using a surgical guide was performed.

This patient is a young patient asking for dental implants to replace her hopeless maxillary central incisors. The patient's chief complaint was the increased mobility of her maxillary central incisors. She has a history of traumatic injury to the central incisors. 

A 54-year-old male patient presented for rehabilitation of an extended maxillary edentulous space. The patient was rehabilitated without any grafting by using artificial pink gingiva and implants with bone expansion properties.