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Slide Casi clinici

Single 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: Female/55  
First Visit: 16/01/2014 Implant Surgery: 21/02/2014
Others Surgery (GBR…):21/02/2014 Final Restoration: 13/09/2014
First Recall: 16/01/2014  
Chief Complaint: Missing an upper anterior tooth, the patient seeks implant restoration.
Consideration(s):Immediate Implantation + GBR

CASE OUTLINE

The crown on the upper left tooth 1 became loose and was subsequently extracted. Immediately after the extraction, a C-Tech implant (Model: EL-4311) was placed. A follow-up treatment with an oxidized zirconia porcelain crown is planned for restoration.

TREATMENT PLAN

The width of the alveolar ridge in the upper left tooth 1 region measures 9.17mm, with a bone height of 13.5mm. After extraction, an immediate C-Tech implant (Model: EL-4311) will be placed. Simultaneously, a guided bone regeneration procedure will be performed, followed by the fabrication of a temporary removable denture for interim restoration.

TREATMENT

1、Collect 20ml of venous blood to prepare Concentrated Growth Factor (CGF) for future use.
2、Perform standard disinfection and drape the area with cloths. Administer local anesthesia to the treatment area, ensuring minimal discomfort. Make a minimally invasive incision along the groove of the upper left tooth 1. Gently extract the affected tooth with intact roots and thoroughly clean and scrape the wound.
3、Precisely position the C-Tech implant (Model: EL-4311) in the location of the upper left tooth 1. Use pilot drills to reach the working length and gradually prepare the borehole to 3.7*13mm (near the centre). Implant the C-Tech implant (EL-4311) with a closure screw, applying a torque of 45N. Place bone graft material on the lip side where bone loss is present. Cover it with membrane and suture the wound with reduced tension, ensuring proper closure.
4、After 6 months, take an impression and replace the restorative abutment with Model: EL-4503F. 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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