CLINICAL CASE

Step-by-step digitallyplanned esthetic
restoration
Igor Ristić and
Nikola Vasilić
SerbiaIgor Ristić and
Nikola Vasilic

Patient
Female, 43
Clinical situationloose frontal incisor, bit dislocated over time
Diagnosis
vertical root fracture with cast metal post
and PFM crown on upper left central incisor

Patient with vertically fractured root ofan upper central incisor underwent digitalplanning and immediate narrow platform
implant placement in the fresh extraction
socket. Connective tissue graft was madeto achieve optimal result.

Surgical solution
NobelActive® NP
Restorative solution
Temporary: Temporary Snap Abutment
and TempShell
Final: NobelProcera® ASC Abutment withe.max Ceram veneering and thin feldspatic
veneers on 12,11, 22 FDISurgery dateDec 10 / 2016
Final prosthetic delivery
Jun 21 / 2017
Total treatment time
6 months

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Visible dislocation of upper left central incisor, creating esthetic and functional problems

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Intraoral pre-treatment situation

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Intraoral pre-treatment situation - lateral view

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic(CB)CT image of the full arch

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Bimaxillary intraoral scan with digitally removed upper-left central incisor

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

SmartFusion of a (CB)CT scan and intraoral scans inNobelClinician® software

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

SmartSetup – a digital wax-up proposed by the sofware of upper left
central incisor in NobelClinician® software
Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Analysis of sagittal aspect of tooth, soft tissues and bone

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Digital position of implant in planning phase, Temporary Snap Abutment included

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Digital design of surgical template in NobelClinician® software

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Printed NobelGuide® template ready for surgical procedure

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Surgicalprocedure

Restorative
procedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Digitally designed TempShell in DTX Studio™ design software

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

TempShell milled in local dentallaboratory, made from PMMA
Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

10/37

Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Intrasulcular incision

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Forceps adapted to the crown for efficient luxation of the tooth

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Atraumatic removal of the remaining root structures

Cleaning up of the alveolar socket, removing all granulation tissues

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Try-in of the surgical template intraorally – occlusal view

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Try-in of the surgical template intraorally – frontal view

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Surgicalprocedure

Restorative
procedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Guided Twist Drill (10+) 7-13 mm, Ø 2 mm

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Initial drilling using Guided Twist Drill** As this was a case with immediate implant placement in an extraction site,
the Screw Tap was not used, due to the size of the alveolar socket

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

NobelActive® NP 15mm

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Implant insertion using the NobelGuide® surgical template

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Final implant positioning

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Verification of implant position according to the surgical template

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Harvesting of the connective tissue graft from tuberosity

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Connective tissue graft

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Try-in of the TempShell – vestibular view

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Try-in of the TempShell – vestibular view

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Extraoral picture of the Temporary Snap
Abutment

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Intraoral pictures after the Temporary Snap Abutment try-in

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Intraoral position of Temporary Snap Abutment is as previously planned

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Planning position of Temporary Snap Abutment

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Shortening of the Temporary Snap Abutment

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Loading of light cure material for TempShell
relining

Surgicalprocedure

Restorative
procedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Positioning of the TempShell

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Light curing and setting in place of
TempShell on the Temporary Snap Abutment
Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Temporary Snap Abutment in TempShell after polymerization inright position

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Extraoral final contouring of emergence profile on temporary crownCase courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Finishing and polishing of emergence profile

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Removing wings for final placement of TempShell

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Surgicalprocedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Finalizing Temporary Snap Abutment for fixation

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Drilling the screw access hole with Apical Drill

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Surgicalprocedure

Restorative
procedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Widening the screw access hole with a diamond burr

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Placing of temporary crownCase courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Torque value is 15 Ncm for Temporary Snap Abutment

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Immediate postoperative situation with temporary crownCase courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Surgicalprocedure

Restorative
procedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Soft tissue final re-shaping prior to
impression procedure

Minimal preparation of surrounding teeth

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Individualized impression coping prior to
impression procedure
Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Surgicalprocedure

Restorative
procedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

NobelProcera® ASC Abutment and veneers
on modelCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Restorations on model, palatal view

OutcomeCourtesy of Dr. Igor Ristić
and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić
and Dr. Nikola Vasilic

Individualized NobelProcera®
ASC Abutment in zirconia
veneered with e.max Ceram
Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Surgicalprocedure

Restorative
procedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Final torque of Individualized
NobelProcera® ASC Abutment is 35 Ncm

Implant restoration immediately after tightening

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Rest of the restorations bonded on teeth.
Screw access hole filled with Teflon™ andlight cured composite

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic
Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Postoperative intraoral X-ray

Superimpositioning of the digital planning as previously done inNobelClinician® software
Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Surgicalprocedure

Restorative
procedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Mock-up for finalization of the treatment.
Veneers on upper central right and lateralincisors and upper left lateral incisor andcanine are planned

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Intraoral view of the mock-up

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Lateral mock-up view

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Intraoral view of finished NobelProcera® ASC Abutment

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Perfect blend of restorative materials with natural tissues, immediate postoperative photo

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Initial clinicalsituation

Treatmentplanning

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Surgicalprocedure

OutcomeCourtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

X-ray with implant and restoration
after final prosthetic delivery

Restorative
procedure

Courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

Final smile of the satisfied patient

Case courtesy of Dr. Igor Ristić and Dr. Nikola Vasilic

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Case courtesy of Igor Ristić and Nikola Vasilic

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