The patient is a 35-year-old man, suffering from severe medical conditions that contraindicate any open-flap surgery.
In 2014, he fell and badly injured teeth 12-11-21.
At that time, to prevent surgery, root canal treatments were performed in these teeth and they were restored with crowns.
At the end of 2020, he complained that teeth 12-11 were not stable, and felt "funny".
In a radiograph it was obvious that teeth 12-11 suffer from external resorption.
It was clear than that there is no way but to extract teeth 12-11.
Under strict medical supervision, the two teeth were extracted, and he received a temporary partial denture which he did not like, and therefor asked for a fixed solution.
After three months of healing, a CBCT of the area was obtained.
The ridge at the site was slightly resorbed, and the crestal width measured 4-5mm.
Due to his medical condition, and in order to avoid open-flap surgery, Adin's guided surgery was used.
Two Adin Touareg CloseFitâ„¢ NP 3.0mm were planned to ensure maximum bone surrounding the implants, A secondary prosthetic guide, with two provisional crowns was also planned, to perform immediate loading at the time o f implant placement.
On follow-up visits it was obrious that the gingival tissues were healed appropriately, restoring form and function of the treated area.
Post accident condition.
2014
Crowns at 6 years follow-up.
2020
External resorption.
2020
CBCT of the area.
A model showing buccal tissue deficiency.
Bone evaluation.
CBCT
Implant placement plan.
Surgical guide.
Note gingival healing and that there is no contact between provisional crowns and adjacent teeth.
(Chlorhexidine stains on adjacent teeth)