Patient history:
Name: Charles
Age: 62
Gender: male
Medical history : ASA I – heavy smoker
Dental history: patient with pfu at p 2.4 dislodged and fractured, p 2.5 root remnant.
Reason for consultation: a tooth was broken and I want an implant in that sector
Initial X-ray
diagnostic wax-up
cone beam p 2.4
cone beam 2.5
Diagnosis:
• Maxillary and mandibular partial teeth.
• Periodontal diagnosis: Plaque-induced gingivitis in the reduced periodontium. Modified by tobacco (Caton, 2017).
Relevant clinical situations
• Heavy Smoker.
• Thick Gingival Biotype.
• Horizontal and vertical alveolar ridge deficiency in tooth area 2.6.
Treatment plan:
Immediate implant surgery – post extraction p 2.4 and p 2.5 with neo naviguide
ISIII Active Neobiotech Implant
ROG: Allograft bone graft 1.5 cc (Regenoss cortical bone and cancellous bone), collagen membrane 15x10.
Digital planning with blue sky plan
surgical guide test
carved surgical beds
implant installation
great torque achieved
Implants installed to perform ROG
final x -ray
