Patient 3 is a 36-year-old female with no medical conditions who requested reconstruction of her upper front teeth (11 and 21) after they were fractured in a fall 4 days prior. Tooth 11 was fractured and 21 was mobile. The treatment plan involved extracting 21, placing an implant with ridge preservation, a provisional resin bridge, healing, a screw-retained provisional restoration on the new tooth 21, and finally bonded porcelain restorations on teeth 11 and 21. The treatment was carried out as planned and resulted in successful reconstruction of the upper front teeth.

1. Patient 3

2. Patient 3
* female
* 36 years old
* no medical condition
* patients’s request:
reconstruction od her
2 upper central
incisors.
* 11 and21 have fractures
due to a trauma 4 days
ago (patient fel in the
bathroom)

3. Digital Facebow
Facial Analysis

4. Facial Analysis Lips in Repose
+/- 2 mm

5. Lip Dynamics low lip dynamics
Facial Analysis Full Smile

6. Lip Dynamics low lip dynamics

7. Dental Analysis
Trauma 11 and 21 21 mobile / 11 fracture

8. Dental Analysis

9. Five Diagnostic Keys
1. Relative tooth position
2. Form of the periodontium
3. Biotype of the periodontium
4. Tooth shape
5. Position of the osseous crests

10. Dental Analysis
1. Relative tooth position
2. Form of the periodontium
3. Biotype of the periodontium
4. Tooth shape
5. Position of the osseous crests
1. marginal tissue incisally
2. normal scallop
3. normal biotype
4. triangle
5. normal

11. 3D imaging

12. Bone Sounding (screenshot from a HD-movie)

13. Treatmentplan
* extraction 21
* ridge preservation with implant placement 21
* provisional resin bonded bridge 21
* healing phase
* screw retained provisional restoration 21
* bonded porcelain restoration 11 and screw
retained metal base porcelain restoration 21

14. Minimal traumatic extraction (screenshot from a HD-movie)

15. Supra-periostal pouch preparation (screenshot from a HD-movie)

16. 3D Implant Positioning

17. 3D Implant Positioning (screenshot from a HD-movie)

18. Soft Tissue Graft (screenshot from a HD-movie)

19. osseo-intergration prosthetic
soft tissue management
1st. provisional 2nd. provisional final impression
Sequence of provisional restorations

20. resin bonded bridge

21. Ovate pontic

22. Buccal contour

23. provisional restoration and impression post

24. Provisionalisation / 3D-soft tissue support

25. Provisionalisation/ 3D-soft tissue support

26. ceramics

27. Hypochlorite
Silane
solution
Component Disinfection

28. Try inn ceramics

29. Final result

30. Final result

31. Final result