Dr. Arturo Llobell

Immediate provisionalization of a central incisor

Dr. Arturo Llobell

Spain

A hopeless central incisor had to be extracted. A NobelActive® TiUltra™ implant was placed immediately with SnapTemp abutment and immediate provisionalization. Clinical outcome 5 months after implant placement shows stable and healthy soft and hard tissues.

Case courtesy of Dr. Llobell

Patient: 40 years, female

Clinical situation: failing endodontic treatment of a central incisor

Surgical solution: extraction site, immediate NobelActive® TiUltra™ implant placement, minor bone grafting with creos™ xenogain, SnapTemp abutment

Restorative solution: zirconia crown with layered porcelain veneer only in the buccal aspect

Surgery date: April 2019

Total treatment time: 3 months

Tooth position: 11

 

 

 

Case courtesy of Dr. Arturo Llobell.

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Case courtesy of Dr. Llobell

Initial clinical situation

Radiograph and CBCT showing failing endodontic and restorative treatment. Patient refused orthodontic forced eruption treatment options.

Case courtesy of Dr. Llobell

Surgical procedure

Blood being pulled along the threads of the hydrophilic TiUltra™ surface during implant placement (left).

Immediate placement of NobelActive® TiUltra™ 3.5 x 13 mm implant in a fresh extraction socket (right).

Case courtesy of Dr. Llobell

Restorative procedure

Bone preservation with creos™ xenogain (left).

SnapTemp abutment in place (center).

Curing of the resin during temporary provisionalization (right).

Case courtesy of Dr. Llobell

Restorative procedure

Temporary provisional in place at the day of surgery (left).

Radiograph at the day of surgery (right).

Case courtesy of Dr. Llobell

Restorative procedure

Customized impression coping.

Case courtesy of Dr. Llobell

Restorative procedure

Final impression utilizing the customized impression coping in order to translate the emergence profile to the future final restoration.

Case courtesy of Dr. Llobell

Outcome

Clinical situation 5 months after implant placement (left).

Radiograph at 5-month follow-up (right).

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