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Slide Casi clinici

Upper Maxillary Guided Surgery with Post-Extraction

Dr. Gianfranco Tacconelli – Palermo, Italy

Case description: 5 implants in the maxilla and post-extraction element 26 with root ossification

Patient with serious aversion for traditional implant surgery.
The first success was to persuade her towards guided surgery, with documentation of previous cases.

The case appeared simple at an early stage; however, avulsion of 26 was found to be investigative due to root ossification. Nevertheless, it was possible to preserve the infradicular septum to allow implant insertion with the precision that only guided surgery can guarantee.

The under-preparation of the implant sites – strongly recommended in the maxilla – made it possible to achieve a high torque, of over 45 ncm.
The duration of the operation was about 45 minutes, of which about 20 to obtain an avulsion as atraumatic as possible.

The patient declares to be more than satisfied and ready to rehabilitate the inferior.

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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