Dr. Franck Bonnet (Le Cannet, France)
Find the long-
term follow-up
here.
Case documentation
1 2 a 4 5 6
7 8 9
10 11 12
3
2 b
1 T he patient presents with a fractured central incisor. The biotype
is rather thin with scalloped marginal gingiva.
2 a) X-ray of the fractured tooth. b) Analysis of the bony situation
through CBCT allows planning of Type 1 implant placement.
3 T he gap from implant to the buccal bone is filled with Geistlich
Bio-Oss ® . A connective tissue graft is placed between the
mucosa and the buccal bone.
4 T he implant (NobelActive™) is positioned optimally, with a more
palatal vestibular orientation. The provisional abutment is placed.
5 A n ideal emergence profile is effected. The provisional crown
allows maintenance of the papillae.
6 T he provisional prosthesis is placed and left out of occlusion.
7 Clinical situation 8 days post-operative. The healing occurs
uneventfully.
8 S ituation 4 months after extraction, prior to finalising the
prosthetic restoration.
9 T he natural profile of the soft tissues has been preserved.
10 A n individual impression post is created for precise transfer of the
emergence profile to the lab.
11 T he final crown is made directly over a zirconia abutment
(Procera ® ).
12 Vestibular view of the final restoration 12 months after tooth
extraction. Note the perfect alignment of the neck of the
teeth and ideal position of the papillae in relation to the contact
points.
Material selection
Geistlich Bio-Oss ® small granules
(0.25–1 mm)
10