CLINICAL CASE

NobelActive®

supporting hardand soft tissue
long-term
Alessandro Pozzi
Italy

Case courtesy of Dr. Alessandro Pozzi

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Alessandro Pozzi
Patient
48 years old male patient with good
medical condition
Clinical situation
Failing porcelain-fused-to-metal fixed dental
prostheses on tooth numbers 24 and 25
Surgical solution
Immediate placement of a NobelActive RP
4.3×13 mm implant after extraction of tooth 24
and root canal treatment of tooth 25 socket
Socket augmentation and autogenous soft
tissue grafting to close the socket and increase
the amount of soft tissue at the recipient site
Restorative solution
Provisionalization of implant with ascrew-retained restoration.
Final lithium disilicate crown
Surgery date(s)10/01/2008“After have been using NobelActive since2007 I’m still wondered by its excellent
mechanical and biologic properties andoutcomes. The implant primary stability
is easy to achieve even in fresh extraction
socket with poor quality bone and theimmediate placement and provisionalizationof single teeth are more predictable and safefor the patient. After 10-year in the function,
the bone level around the NobelActive
implant still exceeds my expectations
and is not unusual to appreciate a boneovergrowth onto the NobelActive platformover time. NobelActive is my choice when
I want to deliver immediate function andesthetic, shorten the overall treatment timeand guarantee a long-lasting success.”

Total treatment time
6 months
Case courtesy of Dr. Alessandro Pozzi

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Initial clinicalsituation

Surgicalprocedure

Courtesy of Dr Alessandro Pozzi

OutcomeCourtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Failed Porcelain Fused to Metal Fixed Dental Prostheses on tooth
number 24 and 25.

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

After the removal of the crowns.
The clinical examinations showed periapical infection and root fracture
at tooth 24; and gingival inflammation, bleeding on probing and 4 mmof periodontal probing depth on both teeth.
Case courtesy of Dr. Alessandro Pozzi

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Initial clinicalsituation

Surgicalprocedure

Courtesy of Dr Alessandro Pozzi

OutcomeCourtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

A minimally invasive tooth extraction without elevating a gingival
flap was performed to maintain the integrity of the buccal plate
and proximal bone peaks.

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

The height of residual bone after mechanical and chemical debridementand disinfection with antibiotic solution (Rifampicin) was 7 mm.

Case courtesy of Dr. Alessandro Pozzi

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Initial clinicalsituation

Surgicalprocedure

OutcomeCourtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Intraoperative view through the surgical template

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Intraoperative view during implant insertion

Case courtesy of Dr. Alessandro Pozzi

5/10

Initial clinicalsituation

Surgicalprocedure

Courtesy of Dr Alessandro Pozzi

OutcomeCourtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Clinical outcome with NobelActive at 3-year follow-up,
showing healthy papilla.

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Radiological outcome with NobelActive at 3-year follow-up,
showing stable bone.

Case courtesy of Dr. Alessandro Pozzi

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Initial clinicalsituation

Surgicalprocedure

Courtesy of Dr Alessandro Pozzi

OutcomeCourtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Clinical outcome with NobelActive at 5-year follow-up,
showing healthy papilla.

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Radiological outcome with NobelActive at 5-year follow-up,
showing stable bone.

Case courtesy of Dr. Alessandro Pozzi

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Initial clinicalsituation

Surgicalprocedure

Courtesy of Dr Alessandro Pozzi

OutcomeCourtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Clinical outcome with NobelActive at 7-year follow-up,
showing healthy papilla.

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Radiological outcome with NobelActive at 7-year follow-up,
showing stable bone.

Case courtesy of Dr. Alessandro Pozzi

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Initial clinicalsituation

Surgicalprocedure

Courtesy of Dr Alessandro Pozzi

OutcomeCourtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Clinical outcome with NobelActive at 10-year follow-up.
Papilla-index improved over time.

Courtesy of Dr Alessandro Pozzi

Courtesy of Dr Alessandro Pozzi

Radiological outcome with NobelActive at 10-year follow-up,
showing stable bone.

Case courtesy of Dr. Alessandro Pozzi9/10

Initial clinicalsituation

Surgicalprocedure

OutcomeCone beam computed tomography image obtained 10 years after
implant insertion, showing bone growth onto the implant platform.

Case courtesy of Dr. Alessandro Pozzi

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Case courtesy of Dr Alessandro Pozzi

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