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 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.
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 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 33-year-old female patient came to the clinic with the desire to replace her missing teeth. The opposing teeth had moved into the gaps. The implants were placed by using a surgical guide. After completion of the orthodontic treatment, the final restorations were fabricated.
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 39-year-old male patient with large diastemas. The following case was solved by a combination of orthodontics and prosthodontics, along with tools used to predictably achieve the desired result.
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 68-year-old female patient wearing an implant-supported restoration with a very high mobility due to periimplantitis. The treatment consisted in placement of new implants and a new prosthesis to re-establish function, esthetics and provide overall comfort.
A 62-year-old male patient with a long history of periodontitis which resulted in extensive gingival recessions compromising the aesthetics. The treatment plan involved a combination of implant-and tooth-supported restorations.
A 65-year-old female patient came for a complete-arch treatment. The aim was to re-position the old removable denture in its original position to be able to transfer it into a cement-retained provisional denture.
A 52-year-old female patient is a referral and has been wearing an immediate provisional partial denture. Implant placement has been planned with a simultaneous GBR procedure.
A 72-year-old female patient was affected by the poor fit of her existing mandibular complete denture, especially the constant movement while chewing. The final treatment included a new maxillary complete denture and a mandibular implant fixed complete denture.
A 65-year-old female patient came for a complete-arch treatment. The aim was to re-position the old removable denture in its original position to be able to transfer it into a cement-retained provisional denture.