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 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 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 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 28-year-old female patient was referred by an endodontist. The root showed signs of resorption and a long-term survival was questionable. The tooth had to be removed and an immediate implant with an adjacent muco-gingival surgery was placed.
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 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 47-year-old female patient referred by her periodontist who was not satisfied with her gingival health. Metal-ceramic crowns with ceramic margins on the natural teeth along with placement of a custom abutment and cementation of a metal-ceramic crown on the implant were chosen.
A 49-year-old female patient was unsatisfied with the high opacity of her right lateral incisor. The existing metal-ceramic crown was replaced by an IPS Empress all-ceramic crown. The crown was bonded with a resin cement.
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 75-year-old female patient with multiple medical conditions asking for dental implants to improve her masticatory function. As such, the All-on-4® treatment concept protocol for the mandible and later on a flapless implant surgery for the maxilla have been employed.