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Neo Naviguide and immediate implant

Patient history:

Name: Charles

Age: 62

Gender: male


Medical history : ASA I – heavy smoker

Dental history: patient with pfu at p 2.4 dislodged and fractured, p 2.5 root remnant.

Reason for consultation: a tooth was broken and I want an implant in that sector


Initial X-ray


diagnostic wax-up


cone beam p 2.4


cone beam 2.5


Diagnosis:

• Maxillary and mandibular partial teeth.

• Periodontal diagnosis: Plaque-induced gingivitis in the reduced periodontium. Modified by tobacco (Caton, 2017).


Relevant clinical situations

• Heavy Smoker.

• Thick Gingival Biotype.

• Horizontal and vertical alveolar ridge deficiency in tooth area 2.6.


Treatment plan:

  • Immediate implant surgery – post extraction p 2.4 and p 2.5 with neo naviguide

  • ISIII Active Neobiotech Implant

  • ROG: Allograft bone graft 1.5 cc (Regenoss cortical bone and cancellous bone), collagen membrane 15x10.


Digital planning with blue sky plan





surgical guide test


carved surgical beds



implant installation



great torque achieved


Implants installed to perform ROG


final x -ray


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