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Slide Casi clinici

2 single implants restoration, 7-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: Female/74  
First Visit: 14/07/2014 Implant Surgery: 30/10/2014
Others Surgery (GBR…): Final Restoration: 19/06/2015
First Recall: 19/06/2015  
Chief Complaint: Missing an upper posterior tooth, the patient seeks implant restoration.
Consideration(s):

CASE OUTLINE

The upper right first molar has been missing for several years. It will undergo restoration using a C-Tech implant (Model: EL-4311). A subsequent application of an oxidized zirconia full crown is planned.

TREATMENT PLAN

The width of the alveolar bone in the region of the upper right tooth 6 measures 8.65mm, with a bone height of 15.28mm. The C-Tech implant (EL-4311) will be conventionally placed.

TREATMENT

1、Perform standard disinfection and drape the area with cloths. Administer local anesthesia to the region of the upper right tooth 6.
2、Make horizontal incisions along the crest of the alveolar ridge of both the upper right tooth 6 to tooth 7. Create a buccal flap reflection on the upper right seventh tooth region. Remove the bone prominence near the upper right tooth 6, reducing the bone height by 1.5mm.
3、Precisely position the C-Tech implant (Model: EL-4311) in the location of the upper right tooth 6. Use pilot drills to reach the working length and gradually prepare the borehole to 3.8*13mm. Implant the C-Tech implant (EL-4311) with a closure screw, applying a torque of 5N.
Take a bone block from the alveolar ridge of the upper right tooth 7 and place it on the palatal side of the upper right sixth tooth. Securely suture the area.
After 4 to 8 months, take an impression and replace the restorative abutment with Model: EL-4503F. Permanently fix it with adhesive fixation, and apply an oxidized zirconia full 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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