Dr. Juan Zufía and Dr. Santiago Dalmau

Restoration of both lateral superior incisors with narrow platform implants

Dr. Juan Zufía and Dr. Santiago Dalmau

Spain

Case courtesy of Dr. Zufía and Dr. Dalmau

Patient presented with congenitally  missing lateral incisors, underwent bone  and connective tissue grafting  and  received two narrow platform implants, NobelActive® ASC Abutments, and  directly veneered screw-retained crowns.

Patient: female, 29 years old

Surgical solution: NobelActive® RP 13 mm

Restorative solution: two NobelProcera® ASC Abutments directly veneered (screw-retained crowns)

 

 

 

Case courtesy of Dr. Juan Zufía and Dr. Santiago Dalmau.

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Case courtesy of Dr. Zufía and Dr. Dalmau

Initial clinical situation

Initial clinical situation shows congenitally missing lateral incisors, deterioration of porcelain bridges and insufficient bone quantity.

Case courtesy of Dr. Zufía and Dr. Dalmau

Surgical procedure

Removal of the Maryland Bridge (left).

A connective tissue graft was performed to change the biotype from thin to thick. This was followed by three months of healing. Then a guided bone regeneration with two blocks from the mandible ramus was completed, followed by eight months of healing. Two NobelActive® NP implants were placed (right).

Case courtesy of Dr. Zufía and Dr. Dalmau

Surgical procedure

A second connective tissue graft was performed to improve the height of the soft tissue.

Case courtesy of Dr. Zufía and Dr. Dalmau

Restorative procedure

Fixed provisional restorations were placed to shape the emergence profile.

Case courtesy of Dr. Zufía and Dr. Dalmau

Restorative procedure

Abutments were designed from a diagnostic tooth set-up to create the ideal anatomical shape for optimal veneering.

Case courtesy of Dr. Zufía and Dr. Dalmau

Restorative procedure

Try-in of the two NobelProcera® ASC Abutments. The Omnigrip™ Screwdriver with pick-up function securely holds the screw.

Case courtesy of Dr. Zufía and Dr. Dalmau

Outcome

Facial and lateral view of the final outcome.

Case courtesy of Dr. Zufía and Dr. Dalmau

Outcome

Occlusal view of the final restoration (left).

Patient smile (right).

Case courtesy of Dr. Zufía and Dr. Dalmau

Outcome

On the day of ASC restoration placement, post-operative X-rays show the excellent fit of these screw-retained restorations.

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