supporting hard and soft tissue long-term
TRANSCRIPT
Case courtesy of Dr. Alessandro Pozzi 1/10
NobelActive® supporting hard and soft tissue long-term
Alessandro PozziItaly
CLINICAL CASE
Case courtesy of Dr. Alessandro Pozzi 2/10
Alessandro Pozzi
“After have been using NobelActive since 2007 I’m still wondered by its excellent mechanical and biologic properties and outcomes. The implant primary stability is easy to achieve even in fresh extraction socket with poor quality bone and the immediate placement and provisionalization of single teeth are more predictable and safe for the patient. After 10-year in the function, the bone level around the NobelActive implant still exceeds my expectations and is not unusual to appreciate a bone overgrowth onto the NobelActive platform over time. NobelActive is my choice when I want to deliver immediate function and esthetic, shorten the overall treatment time and guarantee a long-lasting success.”
Patient48 years old male patient with good medical condition
Clinical situationFailing porcelain-fused-to-metal fixed dental prostheses on tooth numbers 24 and 25
Surgical solutionImmediate placement of a NobelActive RP 4.3×13 mm implant after extraction of tooth 24 and root canal treatment of tooth 25 socket
Socket augmentation and autogenous soft tissue grafting to close the socket and increase the amount of soft tissue at the recipient site
Restorative solutionProvisionalization of implant with a screw-retained restoration.
Final lithium disilicate crown
Surgery date(s)10/01/2008
Total treatment time6 months
Case courtesy of Dr. Alessandro Pozzi 3/10
Failed Porcelain Fused to Metal Fixed Dental Prostheses on tooth number 24 and 25.
After the removal of the crowns. The clinical examinations showed periapical infection and root fracture at tooth 24; and gingival inflammation, bleeding on probing and 4 mm of periodontal probing depth on both teeth.
Initial clinical situation
OutcomeSurgical procedure
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Case courtesy of Dr. Alessandro Pozzi 4/10
A minimally invasive tooth extraction without elevating a gingival flap was performed to maintain the integrity of the buccal plate and proximal bone peaks.
The height of residual bone after mechanical and chemical debridement and disinfection with antibiotic solution (Rifampicin) was 7 mm.
OutcomeSurgical procedure
Initial clinical situation
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Case courtesy of Dr. Alessandro Pozzi 5/10
Intraoperative view through the surgical template Intraoperative view during implant insertion
OutcomeSurgical procedure
Initial clinical situation
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Case courtesy of Dr. Alessandro Pozzi 6/10
Clinical outcome with NobelActive at 3-year follow-up, showing healthy papilla.
Radiological outcome with NobelActive at 3-year follow-up, showing stable bone.
OutcomeInitial clinical situation
Surgical procedure
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Case courtesy of Dr. Alessandro Pozzi 7/10
Clinical outcome with NobelActive at 5-year follow-up, showing healthy papilla.
Radiological outcome with NobelActive at 5-year follow-up, showing stable bone.
OutcomeInitial clinical situation
Surgical procedure
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Case courtesy of Dr. Alessandro Pozzi 8/10
Clinical outcome with NobelActive at 7-year follow-up, showing healthy papilla.
Radiological outcome with NobelActive at 7-year follow-up, showing stable bone.
OutcomeInitial clinical situation
Surgical procedure
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Case courtesy of Dr. Alessandro Pozzi 9/10
Clinical outcome with NobelActive at 10-year follow-up. Papilla-index improved over time.
Radiological outcome with NobelActive at 10-year follow-up, showing stable bone.
OutcomeInitial clinical situation
Surgical procedure
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Courtesy of Dr Alessandro Pozzi
Case courtesy of Dr. Alessandro Pozzi 10/10
Cone beam computed tomography image obtained 10 years after implant insertion, showing bone growth onto the implant platform.
OutcomeInitial clinical situation
Surgical procedure
Case courtesy of Dr Alessandro Pozzi
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