CLINICAL CASE

Immediate placement andprovisionalization withfully digital workflow
Giacomo Fabbri
ItalyGiacomo Fabbri

Case description
18 months follow-up with NobelActive® TiUltra™
and On1™ Base Xeal™
Patient
41-year-old female
Clinical situation
Failing endodontic treatment of the second
premolar in maxilla
Surgical solution
Extraction site, immediate NobelActive® TiUltra™
placement, minor bone grafting with creos™
xenogain, On1™ Base Xeal™

Root extraction followed byan immediate placement ofa NobelActive® TiUltra™ implant,
On1™ Base Xeal™ and temporary
provisionalization with full
digital workflow, demonstrates
good early hard and soft tissue
outcomes.

Restorative solution
On1™ Temporary Abutment, TempShell provisional
Surgery dateFebruary 2019
Total treatment time
3 months (final prosthetic delivered in May 2019)
Tooth position
15
Case courtesy of Dr. Giacomo Fabbri 2/15

Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

View of the smile before surgery

Case courtesy of Dr. Giacomo Fabbri 3/17

Initial clinicalsituation

Treatmentplanning

Courtesy of Dr Giacomo Fabbri

Surgicalprocedure

Restorativeprocedure

OutcomeCourtesy of Dr Giacomo Fabbri

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Courtesy of Dr Giacomo Fabbri

View of the occlusion before surgery

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

X-ray showing failing endodontic treatment

Case courtesy of Dr. Giacomo Fabbri 4/17

Initial clinicalsituation

Treatmentplanning

Courtesy of Dr Giacomo Fabbri

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Digital treatment planning in DTX Studio™ implant

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Digital treatment planning in DTX Studio™ implant – digital positionof implant and abutment
Case courtesy of Dr. Giacomo Fabbri 5/17

Initial clinicalsituation

TreatmentplanningCourtesy of Dr Giacomo Fabbri

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Clinical situation after root extraction

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Occlusal view of the pin placed in the osteotomy

Case courtesy of Dr. Giacomo Fabbri 6/17

Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Courtesy of Dr Giacomo Fabbri

Restorativeprocedure

OutcomeCourtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Placing of NobelActive® TiUltra™ implant in a fresh extraction socket

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Occlusal view of the implant with the healing cap in place

Case courtesy of Dr. Giacomo Fabbri 7/17

Initial clinicalsituation

Treatmentplanning

Courtesy of Dr Giacomo Fabbri

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Occlusal view after filling with creos™ xenogain

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Measuring the distance from the implant to free gingiva
using a periodontal probe
Case courtesy of Dr. Giacomo Fabbri 8/17

Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Restorative
procedure

OutcomeCourtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

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Courtesy of Dr Giacomo Fabbri

Placing of On1™ Base Xeal™ Conical Connection (left) and view of it in place (right)

Case courtesy of Dr. Giacomo Fabbri 9/17

Initial clinicalsituation

Treatmentplanning

Courtesy of Dr Giacomo Fabbri

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

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TempShell provisional restoration fitting and refining

Courtesy of Dr Giacomo Fabbri

Provisional restoration in place

Case courtesy of Dr. Giacomo Fabbri 10/17

Initial clinicalsituation

Treatmentplanning

Courtesy of Dr Giacomo Fabbri

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

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Courtesy of Dr Giacomo Fabbri

On1™ Base Xeal™ − occlusal view 3 months after implant placement

Courtesy of Dr Giacomo Fabbri

Occlusal view of the final crown (3 months after surgery)

Case courtesy of Dr. Giacomo Fabbri 11/17

Initial clinicalsituation

Treatmentplanning

Courtesy of Dr Giacomo Fabbri

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr Giacomo Fabbri

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Smile of the patient immediately after the procedure

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

X-ray of the implant with the provisional restoration
18 days after the surgery
Case courtesy of Dr. Giacomo Fabbri 12/17

Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Courtesy of Dr Giacomo Fabbri

Restorative
procedure

OutcomeCourtesy of Dr Giacomo Fabbri

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Lateral view of the final prosthetic 3 months after implant placement

X-ray of the implant with the final restoration
3 months after the surgery
Case courtesy of Dr. Giacomo Fabbri 13/17

Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

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Courtesy of Dr Giacomo Fabbri

Smile of the patient with the final prosthetics 3 months after the surgery

Case courtesy of Dr. Giacomo Fabbri 14/17

Initial clinicalsituation

Treatmentplanning

Courtesy of Dr Giacomo Fabbri

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Lateral view 18 months after implant placement

X-ray of the implant 18 months after surgery

Case courtesy of Dr. Giacomo Fabbri 15/17

Initial clinicalsituation

Treatmentplanning

Courtesy of Dr Giacomo Fabbri

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri
Courtesy of Dr Giacomo Fabbri

Courtesy of Dr Giacomo Fabbri

Intraoral image 18 months after implant placement

Courtesy of Dr Giacomo Fabbri

Occlusal view 18 months after surgery

Case courtesy of Dr. Giacomo Fabbri 16/17

Case courtesy of Giacomo Fabbri

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