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Case 1. Single tooth replacement
When in the mid 80’s we decided to incorporate single unit replacement to our armamentarium in clinical implant dentistry, individual restorations ad modum Branemark had hardly been introduced. Aware that this was still an experimental technique, in 1987 we placed a single unit implant to restore a missing central incisor
COMPLETE CASE ONLY FOR DENTISTS >>
The case was published in 1988 in the journal Archivos de Odonto Estomatologia being the first case of individual restoration ad modum Branemark in the spanish literature.
After 17 problem free years the patient came to our practice with a fracture of the ceramic veenering material.
New impresions were taken.
We decide to replace the crown utilizing the technology available today ,by means of a zirconia abutment and a procera alumina allceramic crown.
The new restauration in place.
Xray sequence since 1987. Observe the difference between 2005 and 2007.
Probably the new restauration was better accepted by the hard and soft tissues is because the improvement in the mechanization of todays components .The micro-gap between the implant head and the abutment is smaller ,and there is also a considerable reduction of micromovements due to the screw fixing at 35 N/cm.
Case 2. Guided surgery
Agenesia of upper lateral incisors, solved with two osseointegrated implants placed by means of guided surgery and restored with zirconium abutments and all ceramic crowns.
COMPLETE CASE ONLY FOR DENTISTS >>
Frontal and Occlusal views showing the lack of space in-between the teeth.
Radiological Guide.
Computerized plannig with NobelClinician.
Surgical Guide.
Miniflaps before implant placement.
Drilling sequence and specific screw tap for Nactive implants.
Implants placement.
Implant in place.
Pre-fabricated zirconia abutments placed the same day that surgery was preformed.
Case finished.
Case 3. Non-prep laminates
Fracture of central incisors restored with ceramic laminates, without reducing anatomical structures.
COMPLETE CASE ONLY FOR DENTISTS >>
Case 4. Replacement of and old gold acrylic bridge
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COMPLETE CASE ONLY FOR DENTISTS >>
Old gold acrylic three unit bridge to be replaced.
Refinished of the abutments.
Flapless drilling.
Implant placement NActive Ø 3.5 x 11.5 mm.
Implant in place.
1ª provisionalization without loading the implant.
2ª provisionalization 3 months later. Individualizing crowns and loading the implant.
2 months after second provisionalization, impresions were taked.
Zirconia abutment and alumina crowns ready to be placed.
Final placement.
Case 5. Immediate placement and provisionalization
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COMPLETE CASE ONLY FOR DENTISTS >>
Helpless upper left central incisor.
Atraumatic extraction and immediate placement.
Post-insertion X-ray showing the suitability of the case due the amount of bucal plate present.
Temporary acrylic crown.
Four months later final impressions.
Zirconia abutment try in.
Final restoration in place
Case 6. Orthodontics with Invisalign