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Fig.1-2

Patient had a car accident with facial trauma and lost ohis anterior upper teeth form right to left first premolars.  The patient is wearing a removable partial denture; he referred he underwent to a previous bone graft surgery in an attempt to regenerate the missing bone structure following car accident and tooth lost.

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Fig.3

A severe tissue defect is particularly evident on the area of the central papilla. Please, note the redness of the gingiva due to inflammation and trauma from the removable prosthesis

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Fig.4

Soft tissue maturation eighteen months after Guided bond regeneration and 9 months after implant placement and soft tissue management. Gingiva is healthy with no inflammation

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Fig.5

Impression was taken and an eight-unit zirconia oxide based bridge was fabricated which was supported by four zirconia oxide abutments

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Fig.6

Final result following the connection of the four abutments with the osteointegrated implants and the cementation of a 8-unit full ceramic bridge. Please, note the perfect integration of the prosthesis with the adjacent teeth and gingival tissues.

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Fig.7

Pre and post-op x-ray showing the regeneration of the bone tissue between the two central incisors

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Fig.8

Final patient smile after completing the implantprosthetic rehabilitation. Patient is experiencing a sense of self-confidence and self esteem now.

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Before - After
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