United Kingdom
CLINICAL CASE
Restoration of both lateral superior incisors with narrow platform implants
Dr. Juan Zufía and Dr. Santiago Dalmau
Initial clinical situation
Initial clinical situation shows congenitally missing lateral incisors, deterioration of porcelain bridges and insufficient bone quantity.
Surgical procedure
Removal of the Maryland Bridge (left).
A connective tissue graft was performed to change the biotype from thin to thick. This was followed by three months of healing. Then a guided bone regeneration with two blocks from the mandible ramus was completed, followed by eight months of healing. Two NobelActive® NP implants were placed (right).
A second connective tissue graft was performed to improve the height of the soft tissue.
Restorative procedure
Fixed provisional restorations were placed to shape the emergence profile.
Abutments were designed from a diagnostic tooth set-up to create the ideal anatomical shape for optimal veneering.
Try-in of the two NobelProcera® ASC Abutments. The Omnigrip™ Screwdriver with pick-up function securely holds the screw.
Outcome
Facial and lateral view of the final outcome.
Occlusal view of the final restoration (left).
Patient smile (right).
On the day of ASC restoration placement, post-operative X-rays show the excellent fit of these screw-retained restorations.
Share this clinical case
© 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.