Aesthetic Anterior Implant Restoration: Using Adin guide

Aesthetic Anterior Implant Restoration: Using Adin guide

By Dr. Jay Rubin
August 22, 2023



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


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Conversion to screw down temporary









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.




Dr. Jay Rubin

About the Author:
Dr. Jay Rubin

Jay Rubin is a Board Certified Periodontist specializing in the treatment of periodontal disease and in the surgical placement of dental implants. He is the director of implant dentistry and an Assistant Professor of Dentistry at Touro College of Dental Medicine. He is course director for the second year class Intro to dental implants and the fourth year course advanced implant case review. His area of expertise is in hard (bone) and soft tissue (gum) grafting, sinus augmentation, treatment of periodontal disease and dental implants. He is also certified in the pinhole surgical technique for gum rejuvenation and the LANAP protocol for laser treatment of periodontal disease. Dr. Rubin has always enjoyed teaching and giving over his knowledge to the next generation. Prior to joining Touro College of dental medicine, Dr. Rubin previously held positions on the faculty of Columbia College of Dental Medicine and Fairleigh Dickinson Universities, where he taught third and fourth-year students in periodontics. He is an international lecturer and has lectured for various hospitals, residency programs, implant companies and dental meetings. Dr. Rubin graduated from Yeshiva University with a Bachelor’s degree in Biology. Dr. Rubin then earned his D.M.D. from the prestigious University of Pennsylvania, and was certified in advanced general dentistry and periodontics at Fairleigh Dickinson University. He received board certification in periodontology and dental implant surgery from the American board of periodontology.

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