CLINICAL CASE

Restoration of a missing lateral incisor

Dr. Tidu Mankoo 
Dental technicians: 
Luc & Patrick Rutten

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

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Initial clinical situation

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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).

Treatment planning

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Clinical situation after 14 months of orthodontic treatment.

Surgical procedure

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

Restorative procedure

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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).

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

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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).

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

Outcome

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

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

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

Related products

NobelActive®

The unique implant design for high primary stability and esthetic excellence.

Learn more

Temporary solutions

A complete selection of temporary abutments.

Learn more

TempShell

Screw-retained CAD/CAM provisional at the day of surgery. Collaborative digital workflows.

Learn more

Angulated screw channel solutions

Improved esthetics and easier access.

Learn more

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