Skip to main content

Immediate provisionalization of a central incisor

Dr. Arturo Llobell

Spain

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.

Case courtesy of Dr. Llobell

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. Arturo Llobell.

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. Llobell

Initial clinical situation

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

Case courtesy of Dr. Llobell

Surgical procedure

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).

Case courtesy of Dr. Llobell

Restorative procedure

Bone preservation with creos™ xenogain (left).

SnapTemp abutment in place (center).

Curing of the resin during temporary provisionalization (right).

Case courtesy of Dr. Llobell

Restorative procedure

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

Radiograph at the day of surgery (right).

Case courtesy of Dr. Llobell

Restorative procedure

Customized impression coping.

Case courtesy of Dr. Llobell

Restorative procedure

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

Case courtesy of Dr. Llobell

Outcome

Clinical situation 5 months after implant placement (left).

Radiograph at 5-month follow-up (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.