CLINICAL CASE

Immediate provisionalization of a central incisor

Dr. Arturo Llobell

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.

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. Lobell

Initial clinical situation

Case courtesy of Dr. Lobell

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

Surgical procedure

Case courtesy of Dr. Lobell

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).

Restorative procedure

Case courtesy of Dr. Lobell

Bone preservation with creos™ xenogain (left).

SnapTemp abutment in place (center).

Curing of the resin during temporary provisionalization (right).

Case courtesy of Dr. Lobell

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

Radiograph at the day of surgery (right).

Case courtesy of Dr. Lobell

Customized impression coping.

Case courtesy of Dr. Lobell

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

Outcome

Case courtesy of Dr. Lobell

Clinical situation 5 months after implant placement (left).

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

Related products

NobelActive®

An implant like no others.

Learn more

creos™ xenogain

3 methods of application to meet all your bone grafting needs.

Learn more

Xeal™ and TiUltra™

Welcome to the Mucointegration™ era. Surface chemistry cells can’t resist.

Learn more

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