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.
Dr. Fabbri discusses the benefits of the new TiUltra and Xeal. He explains the concept of mucointegration and the clinical benefits it offers. This idea of combining the benefits of the On1 abutment with the new surface allows undisturbed soft tissue healing with mucointegration.
In this work the effect of surface anodization on soft tissue integration was evaluated by comparing anodized (Xeal™) and machined surface titanium discs as culture substrates for human gingival epithelial cells (HGEPp) and primary human gingival fibroblasts (HFIB-G). HFIB-G cells...
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.
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.
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.
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 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 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 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.
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.
Unstable soft tissue seal at implants favors an inflammatory reaction that can lead to facial recession, pocket formation and loss of bone support. The more stable and tight the soft tissue seal, the more predictable the outcome of implant rehabilitation. A major criterion influenc
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.