Dr. Renaud Noharet

Immediate implant placement and loading with Nobel Biocare N1™ system

Dr. Renaud Noharet

Case courtesy of Dr. 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

Case courtesy of Dr. Noharet

Intraoral situation (left).

Initial X-ray (right).

Treatment planning

Case courtesy of Dr. Noharet

Planning with DTX Studio™ Implant software. Intraoral scan from 3Shape TRIOS® intraoral scanner. Guide from Nobel Biocare.

Surgical procedure

Case courtesy of Dr. Noharet

Extraction socket (tooth position 15 FDI system) (left).

First drill (2 mm diameter) above the guide (right).

Surgical procedure

Case courtesy of Dr. Noharet

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).

Surgical procedure

Case courtesy of Dr. Noharet

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).

Surgical procedure

Case courtesy of Dr. Noharet

Occlusal view after implant insertion. The flat side of the trioval implant neck faces buccally (left).

Local impression for immediate restoration (right).

Surgical procedure

Case courtesy of Dr. Noharet

Sealing of socket using creos™ xenogain (left).

Partial incision to create pocket for connective tissue graft (right).

Surgical procedure

Case courtesy of Dr. Noharet

Connective tissue graft with sutures (left).

Provisional on printed model (right).

Surgical procedure

Case courtesy of Dr. Noharet

Provisional in patient‘s mouth (left).

X-ray: Provisionalization at the day of surgery (right).

Surgical procedure

Case courtesy of Dr. Noharet

X-ray: Provisional. No visible bone remodeling after 3 months.

Restorative procedure

Case courtesy of Dr. Noharet

Individualized impression coping (left).

Impression (right).

Restorative procedure

Case courtesy of Dr. Noharet

Excellent esthetic outcome and healthy soft tissue 6 months after surgery.

Restorative procedure

Case courtesy of Dr. Noharet

Occlusal view of implant level (left).

Occlusal view of Nobel Biocare N1 Base Xeal TCC (center).

Occlusal view of final prosthesis (right).

Restorative procedure

Case courtesy of Dr. Noharet

X-ray: Final restoration 7 months after surgery (left).

X-ray: Final July 2021 (right).

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