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Central Incisor and Smile Design, of high smile

Patient arrive after 3 years of Ortho in another office, he refer to take more than 8 coffee cups per day



Tooth 1.1 must be removed,

We see gum recession on canines class V composites, we plan a root coverage also






CBCT shows vertical bone defect and advanced bone resorption






Extraction of tooth 1.1


Implant site preparation


Implant placement, IS II 3.5 X13 mm



Oclusal View, before bone grafting


Implant CBCT control



Costume healing abutment






Srew provisional after 3 month of implant healing




Tooth preparations


Crowns, venners and implant crowns.

Note the canines and premolars were prepared without touching the recession for a future root coverage



Coronal advanced flap for canines and premolars




13 month healing










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