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Asset 9
For Patients For Distributors Online Catalog
3D individual customized implant
Guided implant
Implants
Restoration
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Tooth and gingival (soft tissue) - with flap or flapless

Surgical guide, complicated case requires temporary aesthetic restoration

Dr. Gustavo Yatzkaier.
Patient (F, 48) referred for tooth extraction 44-48 and four immediate implants 44-45-46-47. The patient indicated her preference for a temporary aesthetic solution, but declined a removable partial denture.
Inspection of initial CT (Fig. 1) and consultation with her oral rehabilitation doctor indicated buccal plate deficiency, and the decision was made to perform a staggered treatment:

Stage 1: Extractions 44-48, placing 4 immediate implants 44-45-46-47.
For implants 45-46-47, immediate loading will be applied. Implant 44 will remain unexposed due to the need for a bone transplant. Rehabilitation with a temporary bridge on implants, including dental pontic 44. Temporary rehabilitation to be performed without buccal contact.
Stage 2: Exposing implant 44 after three months.

A. Clinical view with bridge before procedure.
B. After extractions 44-48.
C. ABGuidedService plan-The Sagittal Images for all implants
D. ABGuidedService plan-The Sagittal Images for all implants
E. ABGuidedService plan-The Sagittal Images for all implants
F. ABGuidedService plan-The Sagittal Images for all implants
G. ABGuidedService plan
H. ABGuidedService plan
I. ABGuidedService plan
J. ABGuidedService plan
K. ABGuidedService plan
L. ABGuidedService plan
M. ABGuidedService plan
N. ABGuidedService plan
O. ABGuidedService plan
P. Pre-op testing of buccal tube
Q. View of 3 parallel implant pins in the 45-46-47 zone after initial drilling with pilot drill
R. View of implant 44 in need of augmentation and implants 45-46-47 structure attachment with screws for immediate loading
S. Filling implant 44 zone with human-derived bone allografts (DFDBA)
T. Pericardium membrane augmentation in the 44 zone
U. After closing the flap
V. Post-op periapical X-rays
W. Post-op periapical X-rays
X. 3-month follow-up after exposure of implant 44
Y. Following exposure of implant 44

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