Immediate placement and provisionalization with fully digital workflow
Dr. Giacomo Fabbri
Root extraction followed by an immediate placement of a NobelActive® TiUltra™ implant, On1™ Base Xeal™ and temporary provisionalization with full digital workflow, demonstrates good early hard and soft tissue outcomes.
Patient: 41-year-old female
Clinical situation: failing endodontic treatment of the second premolar in maxilla
Surgical solution: extraction site, immediate NobelActive® TiUltra™ placement, minor bone grafting with creos™ xenogain, On1™ Base Xeal™
Restorative solution: On1™ Temporary Abutment, TempShell provisional
Surgery date: February 2019
Total treatment time: 3 months (final prosthetic delivered in May 2019)
Tooth position: 15
Case courtesy of Dr. Giacomo Fabbri.
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Initial clinical situation
View of the smile before surgery.
Initial clinical situation
View of the occlusion before surgery (left).
X-ray showing failing endodontic treatment (right).
Digital treatment planning in DTX Studio™ implant (left).
Digital treatment planning in DTX Studio™ implant – digital position of implant and abutment (right).
Clinical situation after root extraction (left).
Occlusal view of the pin placed in the osteotomy (right).
Placing of NobelActive® TiUltra™ implant in a fresh extraction socket (left).
Occlusal view of the implant with the healing cap in place (right).
Occlusal view after filling with creos™ xenogain (left).
Measuring the distance from the implant to free gingiva using a periodontal probe (right).
Placing of On1™ Base Xeal™ Conical Connection (left) and view of it in place (right).
TempShell provisional restoration fitting and refining (left).
Provisional restoration in place (right).
On1™ Base Xeal™ − occlusal view 3 months after implant placement (left).
Occlusal view of the final crown (3 months after surgery) (right).
Smile of the patient immediately after the procedure (left).
X-ray of the implant with the provisional restoration 18 days after the surgery (right).
Lateral view of the final prosthetic 3 months after implant placement (left).
X-ray of the implant with the final restoration 3 months after the surgery (right).
Smile of the patient with the final prosthetics 3 months after the surgery.
Lateral view 18 months after implant placement (left).
X-ray of the implant 18 months after surgery (right).
Intraoral image 18 months after implant placement (left).
Occlusal view 18 months after surgery (right).
An implant like no other.
Preserve the soft-tissue attachment without compromising flexibility.
3 methods of application to meet all your bone grafting needs.
Xeal™ and TiUltra™
Welcome to the Mucointegration™ era. Surface chemistry cells can’t resist.
Screw-retained CAD/CAM provisional at the day of surgery. Collaborative digital workflows.
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© Nobel Biocare Services AG, 2020. All rights reserved. creos xenogain is distributed by: Nobel Biocare. Legal manufacturer: Nibec Co., Ltd. Iwol electricity-electronic Agro-industrial Complex, 116 Bamdi-gil, Iwol-myeon, Jincheon-gun, Chungcheongbuk-do, 27816 Korea. KaVo is either registered trademark or trademark of Kaltenbach & Voigt GmbH. DTX Studio, 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. Other trademarks are either registered trademarks or trademarks of their respective owners. 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. All product images are for illustration purposes only and may not be an exact representation of the product. Caution: Federal (United States) law or the law in your jurisdiction restricts this device to sale by or on the order of a dentist or a 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.