Clinical Videos

Anterior Implant Placement with Immediate Temporization Part 2 - Surgical Steps, Implant Placement, GBR Grafting, Immediate Temporization

Catalog Number:CV-055

Authors: Dr. Sascha A. Jovanovic

CE Credits: N/A

Running Time: 15 min

Language:

Description:

The single missing tooth patient in the anterior esthetic zone is in need of a solution that stabilizes a crown, supports healthy gingival margins, develops an esthetic emergence profile with full gingival contour and prevents the need for invasive dental treatment of the adjacent teeth.

Implant protocols for the single tooth patient depend on bone resorption, gingival biotype, Smile-line, general and dental health, social and professional activities, age, and budget of the patient. Success relies on the bone anatomy, soft tissue management, proper planning, surgical and restorative technique used, and factors related to patient's healing behavior.

The referred patient in this video is a healthy, 32-year old non-smoking male with a high lip-line and a single missing upper-right canine with no previous restorative treatment. The canine was previously removed due to boney impaction. The case is shown from the surgical side and the lab technical side. Cone beam 3-D planning and surgical template are used to plan the flap design and surgical steps of implant placements.

Incisions, horizontal and vertical, optimal implant position, apical GBR bone graft placement, flap release and suture placement are shown in detail through each step. The fabrication and adaptation of the zirkonia abutment and the acrylic temporary and the cementation and occlusal adjustment are shown with an exit interview of the happy patient. A follow-up result of 6 weeks and 6 months shows the guided soft tissue growth.

Part 1 of this patient treatment (available on CV-55) demonstrates the patient consultation, oral examination, 3D treatment planning and preparation for the surgical step and implant temporization.

Release Date: May 24, 2013

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