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.
An 80-year-old female patient presents a fractured root on a distal fixed bridge element in the posterior maxilla. The case is solved with immediate flapless implant placement using dynamic navigated surgery of mesially tilted implants and immediate provisionalization.
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 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 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.
A 58-year-old male patient presented loss of multiple teeth, need for replacement of his conventional, partial removable dentures with a fixed restoration by Dr. Jevgenij Travkin. The All-on-4® treatment concept with immediate implant placement was chosen.
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 34-year-old male patient presented with the central incisor severely damaged, it had to be extracted. A socket preservation approach was chosen and an implant was placed following a delayed placement protocol with a connective tissue graft.