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.
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
Initial clinical situation
Radiograph and CBCT showing failing endodontic and restorative treatment. Patient refused orthodontic forced eruption treatment options.
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).
Restorative procedure
Bone preservation with creos™ xenogain (left).
SnapTemp abutment in place (center).
Curing of the resin during temporary provisionalization (right).
Restorative procedure
Temporary provisional in place at the day of surgery (left).
Radiograph at the day of surgery (right).
Restorative procedure
Customized impression coping.
Restorative procedure
Final impression utilizing the customized impression coping in order to translate the emergence profile to the future final restoration.
Outcome
Clinical situation 5 months after implant placement (left).
Radiograph at 5-month follow-up (right).
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NobelActive®An implant like no others.
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creos™ xenogain3 methods of application to meet all your bone grafting needs.
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Xeal™ and TiUltra™Welcome to the Mucointegration™ era. Surface chemistry cells can’t resist.
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