This case study involves a patient who presented with a fractured tooth #8.
The patient had different gingival heights between teeth #8 and #9, and different gingiva zeniths.
The patient was highly aesthetic-conscious, which added an extra layer of complexity to the treatment plan.

Patient who presented with a fractured tooth #8

Treatment Plan

The treatment plan was meticulously designed to meet the patient's aesthetic demands and included the following steps:

1. Tooth #8 removal
2. Guided implant surgery with autogenous bone graft from osteotomy
3. Application of demineralized freeze-dried bone
4. PRF sticky bone application
5. Subepithelial connective tissue graft to the facial using a microsurgical blade
6. Insertion of a composite resin tooth

Procedure and Observations

The procedure was carried out using adin's guided implant surgery system.
This advanced technology allowed for precise placement of the implant, ensuring optimal aesthetic and functional outcomes.

The bone graft was autogenous, harvested from the osteotomy site.
This was supplemented with demineralized freeze-dried bone and PRF sticky bone to promote healing and integration of the implant.

Growth factors and cytokines within the PRF:

• Platelet-derived growth factor
• Transforming growth factor
• Insulin-like growth factor
• Vascular endothelial growth factor
• Interleukin

A subepithelial connective tissue graft was applied to the facial aspect of the implant site using a microsurgical blade. This helped to achieve the desired gingival contour and height, meeting the patient's aesthetic demands.

*Autologous blood products:
Usage and preparation protocols, Palaiologou A, Keeling F. Clin Adv Periodontics. 2022;12:287-293

Healing

Conversion to screw down temporary

Final

Images and Notes

The images accompanying this case study provide a detailed visual representation of the procedure.
They highlight the precision of the guided implant surgery and the effectiveness of the grafting techniques in achieving the desired aesthetic outcomes.

This case study demonstrates the importance of a tailored and patient-centric approach to dental implant procedures.
It shows how advanced technologies, like Adin's guided implant surgery system, can help meet the aesthetic demands of even the most discerning patients.