Patient history: Name: Rodrigo
Age: 44
Gender: male
Medical history : ASA I – heavy smoker
Dental history: failed endodontic treatment, chambered floor perforation p 3.6
Reason for consultation: I need a new tooth
initian radiograph
diagnostic wax-up
Diagnosis:
• Maxillary and mandibular total teeth
• Periodontal diagnosis: Plaque-induced gingivitis in the reduced periodontium. Modified by tobacco (Caton, 2017)
Relevant clinical situations
• Bone quality classification: Type II (Lekholm and Zarb,1985)
• Anatomical Classification: Type I (Cawood and Howell, 1988)
• Heavy Smoker.
• Fine Gingival Biotype.
• Deficient attached gingiva due to vestibular p 3.6
Treatment plan:
Type I immediate implant surgery (The Third ITI Consensus Conference. Ha¨mmerle et al. 2004) –post extraction p 3.6
ISIII Active Neobiotech Implant 4.0 mm x 11.5 mm
Alveolar preservation: Bone graft Allograft 1cc (Alpha-Bio GRAFT cortical bone and lyophilized cancellous bone). PRF
Implant-assisted Pfu
Semi-strict surgical guide - scientifically endorsed surgical technique
Neobiotech surgical protocol and semi-strict guide
Position is confirmed, prosthetically guided, extraction
ISIII implant – progressive torque
ROG: Allograft 1cc (Alpha-Bio GRAFT cortical bone and lyophilized cancellous bone)- healing abutament 6.0 x 2 mm and L-PRF
Immediate radiographic control
Surgical control at 7 days
control 1 month
Control 3rd month
