NobelActive® supporting hard and soft tissue long-term
Prof. Alessandro Pozzi
“After having used NobelActive since 2007, I’m still wondered by its excellent mechanical and biological properties and outcomes. The implant primary stability is easy to achieve even in fresh extraction sockets with poor quality bone, and the immediate placement and provisionalization of single teeth are more predictable and safe for the patient. After 10-years' function, the bone level around the NobelActive implant still exceeds my expectations and is not unusual to appreciate bone overgrowth on the NobelActive platform over time. NobelActive is my choice when I want to deliver immediate function and esthetics, shorten the overall treatment time and guarantee long-lasting success.”
Patient: 48 years old male patient with good medical condition
Clinical situation: failing porcelain-fused-to-metal fixed dental prostheses on tooth numbers 24 and 25
Surgical solution: immediate placement of a NobelActive RP 4.3×13 mm implant after extraction of tooth 24 and root canal treatment of tooth 25 socket. Socket augmentation and autogenous soft tissue grafting to close the socket and increase the amount of soft tissue at the recipient site
Restorative solution: provisionalization of implant with a screw-retained restoration.Final lithium disilicate crown
Surgery date: January 10, 2008
Total treatment time: 6 months
Case courtesy of Dr. Alessandro Pozzi.
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Initial clinical solution
Failed Porcelain Fused to Metal Fixed Dental Prostheses on tooth number 24 and 25 (right).
After the removal of the crowns. The clinical examinations showed periapical infection and root fracture at tooth 24; and gingival inflammation, bleeding on probing and 4 mm of periodontal probing depth on both teeth (left).
A minimally invasive tooth extraction without elevating a gingival flap was performed to maintain the integrity of the buccal plate and proximal bone peaks (right).
The height of residual bone after mechanical and chemical debridement and disinfection with antibiotic solution (Rifampicin) was 7 mm (left).
Intraoperative view through the surgical template (left).
Intraoperative view during implant insertion (right).
Clinical outcome with NobelActive at 3-year follow-up, showing healthy papilla (left).
Radiological outcome with NobelActive at 3-year follow-up, showing stable bone (right).
Clinical outcome with NobelActive at 5-year follow-up, showing healthy papilla (left).
Radiological outcome with NobelActive at 5-year follow-up, showing stable bone (right).
Clinical outcome with NobelActive at 7-year follow-up, showing healthy papilla (left).
Radiological outcome with NobelActive at 7-year follow-up, showing stable bone (right).
Clinical outcome with NobelActive at 10-year follow-up. Papilla-index improved over time (left).
Radiological outcome with NobelActive at 10-year follow-up, showing stable bone (right).
Cone beam computed tomography image obtained 10 years after implant insertion, showing bone growth onto the implant platform.
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