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Juan Zufía and Santiago Dalmau Spain Restoration of both lateral superior incisors with narrow platform implants CLINICAL CASE
Juan Zufía and Santiago DalmauSpain
Restoration of both lateral superior incisors with narrow platform implants
CLINICAL CASE
Case courtesy of Dr. Juan Zufia and Santiago Dalmau 2/12
PatientFemale patient, 29 years old
Surgical solutionNobelActive® RP 13 mm
Restorative solutionTwo NobelActive® ASC Abutments directly veneered (screw-retained crowns).
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.
Juan Zufia Santiago Dalmau
Case courtesy of Dr. Juan Zufia and Santiago Dalmau 3/12
Initial clinical situation shows congenitally missing lateral incisors, deterioration of porcelain bridges and insufficient bone quantity.
Initial clinical situation
Surgical procedure
Restorative procedure
Outcome
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Case courtesy of Dr. Juan Zufia and Santiago Dalmau 4/12
Removal of the Maryland Bridge (left image). 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 image).
Initial clinical situation
Surgical procedure
Restorative procedure
Outcome
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Case courtesy of Dr. Juan Zufia and Santiago Dalmau 5/12
A second connective tissue graft was performed to improve the height of the soft tissue.
Initial clinical situation
Restorative procedure
OutcomeSurgical procedure
Courtesy of Dr. Juan Zufia and Santiago DalmauCourtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago DalmauCourtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Case courtesy of Dr. Juan Zufia and Santiago Dalmau 6/12
Fixed provisional restorations were placed to shape the emergence profile.
Initial clinical situation
Surgical procedure
Restorative procedure
Outcome
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Case courtesy of Dr. Juan Zufia and Santiago Dalmau 7/12
Abutments were designed from a diagnostic tooth set-up to create the ideal anatomical shape for optimal veneering.
Initial clinical situation
Surgical procedure
OutcomeRestorative procedure
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Case courtesy of Dr. Juan Zufia and Santiago Dalmau 8/12
Try-in of the two NobelProcera® ASC Abutments. The new Omnigrip™ Screwdriver with pick-up function securely holds the screw.
Initial clinical situation
Surgical procedure
OutcomeRestorative procedure
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Case courtesy of Dr. Juan Zufia and Santiago Dalmau 9/12
Facial and lateral view of the final outcome.
Initial clinical situation
Surgical procedure
Restorative procedure
Outcome
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago DalmauCourtesy of Dr. Juan Zufia and Santiago Dalmau
Case courtesy of Dr. Juan Zufia and Santiago Dalmau 10/12
Occlusal view of the final restoration and patient smile.
Initial clinical situation
Surgical procedure
Restorative procedure
Outcome
Courtesy of Dr. Juan Zufia and Santiago Dalmau Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau Courtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago Dalmau Courtesy of Dr. Juan Zufia and Santiago Dalmau
Case courtesy of Dr. Juan Zufia and Santiago Dalmau 11/12
On the day of ASC restoration placement, post-operative X-rays show the excellent fit of these screw-retained restorations.
Initial clinical situation
Surgical procedure
Restorative procedure
Outcome
Courtesy of Dr. Juan Zufia and Santiago DalmauCourtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago DalmauCourtesy of Dr. Juan Zufia and Santiago Dalmau
Courtesy of Dr. Juan Zufia and Santiago DalmauCourtesy of Dr. Juan Zufia and Santiago Dalmau
Case courtesy of Dr. Juan Zufia and Santiago Dalmau
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