CLINICAL CASE

Long follow-up
of a restoredpremolar in maxilla
Arturo Llobell
SpainArturo Llobell

Case description
57-month follow-up NobelParallel™ CCImplantPatient
80 years, female, healthy dentition
Clinical situation
Medium to soft bone at healed site 14
Surgical solution
Full flap, NobelParallel™ CC

Patient presented with a missing premolarand received NobelParallel™ CC implant
upon raising a full flap, followed by therestoration with a NobelProcera® zirconia
abutment and coping. Long-term follow-up
demonstrates good bone and soft-tissue
stability.

Restorative solution
NobelProcera® Zirconia Abutmentand Coping
Surgery dateJuly 2014
Total treatment time
4 years 9 months
Tooth position
14
Case courtesy of Dr. Arturo Llobell

2/8Initial clinicalsituation

Surgicalprocedure

Courtesy of Dr Arturo Llobell

Restorative
procedure

OutcomeCourtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Healed site 14 with slight bone loss at position.
Soft tissue recession on site 13 is not a concern for the patient

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Panoramic X-ray taken before the surgery

Case courtesy of Dr. Arturo Llobell

3/8

Initial clinicalsituation

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Surgical site with flap raised.
Moderate bone quality is visible

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo LlobellPlacing the NobelParallel™ CC RP 4.3 x 11.5 implant.
Insertion torque: 28 Ncm
Case courtesy of Dr. Arturo Llobell

4/8

Initial clinicalsituation

Surgicalprocedure

Restorative
procedure

OutcomeCourtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

NobelProcera® crown FCZ with porcelain on NobelProcera® abutment

Case courtesy of Dr. Arturo Llobell

5/8Initial clinicalsituation

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo LlobellCourtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Surgicalprocedure

Restorative
procedure

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

OutcomeCourtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

X-rays taken at the day of surgery, at 4 and 54 months after the surgery

Case courtesy of Dr. Arturo Llobell

6/8

Initial clinicalsituation

Surgicalprocedure

Courtesy of Dr Arturo Llobell

Restorative
procedure

OutcomeCourtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Courtesy of Dr Arturo Llobell

Clinical view at 12 and 54 months after the surgery

Case courtesy of Dr. Arturo Llobell

7/8

Case courtesy of Arturo Llobell

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