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Slide Casi clinici

2 implants restoration in the upper jaw, 8-year follow-up

Doctor Peng Dong, the expert of tooth implantation in Peking University International Hospital and president of Beijing Hedu Stomatological Clinic Co., Ltd

Medical Case Report

Sex / Age: Male/55  
First Visit: 07/12/2013 Implant Surgery: 07/12/2013
Others Surgery (GBR…): Final Restoration: 23/04/2014
First Recall: 30/04/2014  
Chief Complaint: Missing an anterior tooth in the upper left region, the patient seeks fixed restoration.
Consideration(s):

CASE OUTLINE

The upper left tooth 2 is missing. It will undergo restoration using a C-Tech implant (Model: EL-3511). A subsequent application of an oxidized zirconia porcelain crown is planned for the final restoration.

TREATMENT PLAN

The width of the alveolar bone in the region of the upper left tooth 2 measures 5.7mm, and the height is 14.02mm, which is deemed to be ideal. The proposed approach is to implant a C-Tech implant (Model: EL-3511) in this area. The second stage of the surgery is scheduled for three months later.

TREATMENT

1、Perform standard disinfection and drape the area with cloths.
2、Administer local anesthesia to the upper left tooth 2, ensuring minimal discomfort. Create a horizontal incision along the crest of the alveolar ridge, extending from the near to far and central aspects. Carefully reflect the gingiva to expose the underlying bone surface.
3、Precisely position the C-Tech implant (Model: EL-3511) in the location of the upper left tooth 2. Gradually prepare a tapered borehole measuring 3.0x13mm to accommodate the implant, ensuring a precise fit. The implant is integrated with the healing abutment (Model: EL-5506HT) and anchored with a torque of 10N, achieving a marginal bone height of M3D4 B1.5L2. Securely suture the area.
4、After 4 months, take an impression and replace the restorative abutment with Model: EL-4504F. Permanently fix it with adhesive fixation, and apply an oxidized zirconia porcelain crown for long-lasting restoration.

 

Clinical Cases

Immediate dental implant placement & immediate aesthetics on a upper lateral incisor

Catarina G. Rodrigues, DDS, MSc - Manuel D. Marques, DDS In the present clinical case, the upper left lateral incisor presented with a vertical fracture. Following a proper clinical and radiographic analysis, the tooth was considered hopeless. The treatment plan consisted of the extraction of the lateral incisor and immediate dental implant placement. It is well described in the literature that delayed loading, in contrast with immediate or immediate- delayed loading, can lead to predictableRead more

Advantages of guided surgery, predictability in small spaces

by Doctor Henriette Lerner, HL-DENTCLINIC DR. STOM. MEDIC. In this case, the patient has a genesis of the two upper lateral incisors. Having created the space with the help of the orthodontic specialist, we first proceed with a Digital Smile Design and then with the digital planning of the two implants in comparison with the new aesthetics.Read more

Guided surgery in the jaw and mandible

by Doctor Henriette Lerner, HL-DENTCLINIC DR. STOM. MEDIC. In this case, it is necessary to use all the digital tools available – detection of joint movements, digital smile design and guided surgery, with the aim of having predictability and accuracy. For the future aesthetic part and function, the evaluation took place before the surgery.Read more

Guided surgery with bone graft

by Doctor Henriette Lerner, HL-DENTCLINIC DR. STOM. MEDIC. In this case it is shown how it is still possible to work in guided surgery and consequently perform bone grafts where necessary. The advantage in a difficult case like this is to design the dental implants with a surgical guide, in order to maintain their correct positioning. Finally, the aesthetic project was evaluated prior to surgery.Read more

Full arch case: immediate implant placement with guided surgery and immediate loading

Catarina G. Rodrigues, DDS, MSc - Manuel D. Marques, DDS A 57-year-old woman presented to a private practice with the chief complaint being “I'm self-conscious about the appearance of my teeth. Also, I’ve lost most of my teeth and I cannot eat well because of that”. The clinical and radiographic examination revealed the absence of all teeth except the central incisors and right lateral incisor in the upper. In the lower, partial edentulism, severe bone loss, and multiple periapical infRead more

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