Guided bone regeneration with immediate implant placement
Using NobelReplace® CC, creos™ xenoprotect and creos™ xenogain
Dr. Giorgio Tabanella
Italy
Clinical situation: Implant treatment in tooth position 15 (FDI system) after failure of endodontic treatment.
Surgical solution: Immediate placement of NobelReplace CC implant and simultaneous guided bone regeneration (GBR) using creos xenogain as bone graft material and creos xenoprotect as barrier membrane to close fenestration and increase buccal bone. Creos xenogain was also used for socket grafting.
Restorative solution: Immediate provisionalization and delivery of the final prosthetics after 4 months.
Total treatment time: 4 months – with 6 years follow up.
Pre-operative pictures. Clinical picture: Tooth removal after failure of endodontic treatment.
CBCT scan.
Guided bone regeneration and implant placement.
Extraction of the tooth. Fenestration on the buccal aspect and thin buccal plate.
Guided bone regeneration and implant placement.
Immediate implant placement and simultaneous GBR to close fenestration and increase buccal bone as well as socket grafting. creos xenogain was used as bone graft. creos xenoprotect membrane was trimmed thanks to its good handling properties and stabilized interproximally using pins.
Immediate provisionalization.
NobelReplace CC implant, after suturing and placement of an immediate temporary abutment (left).
X-ray after implant placement (center).
Immediate placement of a temporary crown (right).
Final restoration.
Placement of the final restoration after 4 months (left, center).
Follow up after 6 years, growing papilla and healthy soft tissues (right).
CBCT scan before and after treatment.
CBCT scan – pre-operatively (left).
CBCT scan after a six years, showing increase in buccal wall thickness (right).
-
NobelReplace® Conical ConnectionProven performance, enhanced esthetics.
-
creos™ xenogain3 methods of application to meet all your bone grafting needs.
-
creos™ xenoprotectA membrane with outstanding handling that facilitates bone gain.
Share this clinical case
Sign up for our blog update
Get the latest clinical cases, industry news, product information and more.
© Nobel Biocare Services AG, 2023. 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. Dr. Tabanella is a paid consultant for Nobel Biocare. The opinions expressed are those of the doctor. Nobel Biocare is a medical device manufacturer and does not dispense medical advice. Clinicians should use their own professional judgment in treating their patients. Individual patient results may vary.