Immediate implant placement and loading with Nobel Biocare N1™ system
Dr. Renaud Noharet
Patient: 30 years old, female.
Clinical situation: Crack in radicular part of second premolar in upper jaw (FDI system 15).
Surgical solution: Immediate placement and immediate loading with N1 implant system.
Restorative solution: Universal Base on Nobel Biocare N1 Base Xeal™ TCC.
Surgery date: September 9, 2020
Total treatment time: 1 year
Tooth position: 15 (FDI system)
Case courtesy of Dr. Renaud Noharet.
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Initial clinical situation
Intraoral situation (left).
Initial X-ray (right).
Planning with DTX Studio™ Implant software. Intraoral scan from 3Shape TRIOS® intraoral scanner. Guide from Nobel Biocare.
Extraction socket (tooth position 15 FDI system) (left).
First drill (2 mm diameter) above the guide (right).
OsseoDirector™ to define the final implant position. The sharp design of the OsseoDirector tip supports bone engagement and the tapered body allows changes in direction while cutting the pilot osteotomy (left).
OsseoShaper™ 1 site preparation tool before its insertion. It operates at low speed (50 rpm) with minimized noise and vibration (right).
OsseoShaper 1 freshly removed from the site. Note the bone chips and osseous coagulum are retained in the osteotomy and threads of the instrument (left).
Nobel Biocare N1 TiUltra™ TCC RP 4.0 x 11 mm (right).
Occlusal view after implant insertion. The flat side of the trioval implant neck faces buccally (left).
Local impression for immediate restoration (right).
Sealing of socket using creos™ xenogain (left).
Partial incision to create pocket for connective tissue graft (right).
Connective tissue graft with sutures (left).
Provisional on printed model (right).
Provisional in patient‘s mouth (left).
X-ray: Provisionalization at the day of surgery (right).
X-ray: Provisional. No visible bone remodeling after 3 months.
Individualized impression coping (left).
Excellent esthetic outcome and healthy soft tissue 6 months after surgery.
Occlusal view of implant level (left).
Occlusal view of Nobel Biocare N1 Base Xeal TCC (center).
Occlusal view of final prosthesis (right).
X-ray: Final restoration 7 months after surgery (left).