Dr. Tidu Mankoo

Restoration of a missing lateral incisor

Dr. Tidu Mankoo

Dental technicians Luc & Patrick Rutten

Patient with congenitally missing right and peg-shaped left lateral incisor. Orthodontic treatment was carried out to align the teeth and create the correct space for restoration of both lateral incisors. The maxillary left incisor was restored with a lithium disilicate veneer followed by extraction of right deciduous lateral incisor with immediate placement of a NobelActive® TiUltra™ implant and immediate provisionalisation. Simultaneous soft tissue augmentation was carried out with sub-epithelial connective tissue graft.

Case courtesy of Dr. Mankoo

Patient: 22 years, male

Clinical situation: congenitally missing right lateral and peg shaped left lateral maxillary incisor 

Surgical solution: extraction & immediate placement of NobelActive® TiUltra™ implant

Restorative solution: Temporary: SnapTemp abutment and Tempshell crown. Final: NobelProcera® ASC Full Contour Zirconia Implant Crown

Surgery date: April, 2019

Total treatment time: 3 months

Tooth position: 12

 

 

 

Case courtesy of Dr. Tidu Mankoo.

Some products may not be regulatory cleared/released for sale in all markets.

Please use landscape mode when viewing this page on mobile.

Case courtesy of Dr. Mankoo

Initial clinical situation

Clinical view of patient with retained deciduous right maxillary lateral incisor and peg-shaped left lateral. Note the poor relative proportions of the incisors, anterior crowding and the lack of adequate space for the maxillary lateral incisors (left).

Apical root resorption of the retained right lateral incisor (right).

Case courtesy of Dr. Mankoo

Initial clinical situation

Clinical situation after 14 months of orthodontic treatment.

Case courtesy of Dr. Mankoo

Treatment planning

Digital planning of the implant placement and digitally designed TempShell in the DTX Studio™ Implant software.

Case courtesy of Dr. Mankoo

Surgical procedure

Immediate postoperative situation with temporary crown in place on a 3mm SnapTemp abutment and a connective tissue graft to augment labial volume (left).

NobelActive® TiUltra™ 3.5 x 10 mm implant (center).

Radiograph of the NobelActive® TiUltra™ implant with the SnapTemp abutment right after the surgery (right).

Case courtesy of Dr. Mankoo

Restorative procedure

At 2 months, impressions were taken (both conventional and digital) and shade communication provided to the laboratory. The temporary was refitted.

Case courtesy of Dr. Mankoo

Restorative procedure

DTX Studio™ Lab software was utilized to design the zirconia framework for a NobelProcera® ASC Full Contour Zirconia Implant Crown with labial cutback and veneered with porcelain on the labial side (work by Luc & Patrick Rutten).

Case courtesy of Dr. Mankoo

Restorative procedure

Delivery of the final prosthetic 3 months after the implant placement.

Case courtesy of Dr. Mankoo

Outcome

1 week follow-up: Intraoral view of the final restoration.

Case courtesy of Dr. Mankoo

Outcome

Clinical situation showing pleasing esthetic result after one month of follow-up (left).

Radiograph of the implant and the final prosthesis (right).

Related products

Sign up for our blog update

Get the latest clinical cases, industry news, product information and more.

© Nobel Biocare Services AG, 2019. All rights reserved. Nobel Biocare, the Nobel Biocare logotype and all other trademarks are, if nothing else is stated or is evident from the context in a certain case, trademarks of Nobel Biocare. Please refer to nobelbiocare.com/trademarks for more information. Product images are not necessarily to scale. Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. For prescription use only. Caution: Federal (United States) law restricts this device to sale by or on the order of a licensed clinician, medical professional or physician. See Instructions For Use for full prescribing information, including indications, contraindications, warnings and precautions. Nobel Biocare does not take any liability for any injury or damage to any person or property arising from the use of this clinical case. This clinical case is not intended to recommend any measures, techniques, procedures or products, or give advice, and is not a substitute for medical training or your own clinical judgement as a healthcare professional. Viewers should never disregard professional medical advice or delay seeking medical treatment because of something they have seen in this clinical case. Full procedure is not shown. Certain sequences have been cut.