Prof. Alessandro Pozzi

NobelActive® supporting hard and soft tissue long-term

Prof. Alessandro Pozzi

Italy

“After having used NobelActive since 2007, I’m still wondered by its excellent mechanical and biological properties and outcomes. The implant primary stability is easy to achieve even in fresh extraction sockets with poor quality bone, and the immediate placement and provisionalization of single teeth are more predictable and safe for the patient. After 10-years' function, the bone level around the NobelActive implant still exceeds my expectations and is not unusual to appreciate bone overgrowth on the NobelActive platform over time. NobelActive is my choice when I want to deliver immediate function and esthetics, shorten the overall treatment time and guarantee long-lasting success.”

Case courtesy of Dr. Pozzi

Patient: 48 years old male patient with good medical condition

Clinical situation: failing porcelain-fused-to-metal fixed dental prostheses on tooth numbers 24 and 25

Surgical solution: immediate placement of a NobelActive RP 4.3×13 mm implant after extraction of tooth 24 and root canal treatment of tooth 25 socket. Socket augmentation and autogenous soft tissue grafting to close the socket and increase the amount of soft tissue at the recipient site

Restorative solution: provisionalization of implant with a screw-retained restoration.Final lithium disilicate crown

Surgery date: January 10, 2008

Total treatment time: 6 months

 

 

 

Case courtesy of Dr. Alessandro Pozzi.

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Case courtesy of Dr. Pozzi

Initial clinical solution

Failed Porcelain Fused to Metal Fixed Dental Prostheses on tooth number 24 and 25 (right).

After the removal of the crowns. The clinical examinations showed periapical infection and root fracture at tooth 24; and gingival inflammation, bleeding on probing and 4 mm of periodontal probing depth on both teeth (left).
 

Case courtesy of Dr. Pozzi

Surgical procedure

A minimally invasive tooth extraction without elevating a gingival flap was performed to maintain the integrity of the buccal plate and proximal bone peaks (right).

The height of residual bone after mechanical and chemical debridement and disinfection with antibiotic solution (Rifampicin) was 7 mm (left).

Case courtesy of Dr. Pozzi

Surgical procedure

Intraoperative view through the surgical template (left).

Intraoperative view during implant insertion (right).

Case courtesy of Dr. Pozzi

Outcome

Clinical outcome with NobelActive at 3-year follow-up, showing healthy papilla (left).

Radiological outcome with NobelActive at 3-year follow-up, showing stable bone (right).

Case courtesy of Dr. Pozzi

Outcome

Clinical outcome with NobelActive at 5-year follow-up, showing healthy papilla (left).

Radiological outcome with NobelActive at 5-year follow-up, showing stable bone (right).

Case courtesy of Dr. Pozzi

Outcome

Clinical outcome with NobelActive at 7-year follow-up, showing healthy papilla (left).

Radiological outcome with NobelActive at 7-year follow-up, showing stable bone (right).

Case courtesy of Dr. Pozzi

Outcome

Clinical outcome with NobelActive at 10-year follow-up. Papilla-index improved over time (left).

Radiological outcome with NobelActive at 10-year follow-up, showing stable bone (right).

Case courtesy of Dr. Pozzi

Outcome

Cone beam computed tomography image obtained 10 years after implant insertion, showing bone growth onto the implant platform.

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