Restoration of both lateral superior incisors with narrow platform implants
Dr. Juan Zufía and Dr. Santiago Dalmau
Patient presented with congenitally missing lateral incisors, underwent bone and connective tissue grafting and received two narrow platform implants, NobelActive® ASC Abutments, and directly veneered screw-retained crowns.
Patient: female, 29 years old
Surgical solution: NobelActive® RP 13 mm
Restorative solution: two NobelProcera® ASC Abutments directly veneered (screw-retained crowns)
Case courtesy of Dr. Juan Zufía and Dr. Santiago Dalmau.
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Initial clinical situation
Initial clinical situation shows congenitally missing lateral incisors, deterioration of porcelain bridges and insufficient bone quantity.
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.
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.
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.