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CAD/CAM - international magazine of digital dentistry

_Initial situation A 38-year-old male patient with a non-con- tributory medical history presented owing to a vertical fracture of the maxillary left central in- cisor(tooth#21).Thepatientshowedacombination of risk factors that together had led to the fracture: theabsenceoftheferruleeffect,shortposts,bruxism, and occlusal overload due to premature contacts during protrusive movements (Figs. 1–3). _Treatment plan Based on the clinical and radiographic exami- nation,theaestheticriskprofilewasdeterminedto range from moderate to high on the International Team for Implantology’s aesthetic risk assessment guidelines. Horizontal and vertical bone defects were detected, with a distance of 6 mm from bone level to the contact points (Fig. 4). A delayed im- plant placement (Type 2) was planned in order to I case report _ tissue management and CAD/CAM restoration 36 I CAD/CAM 1_2015 Fig. 2Fig. 1 Periodontal and peri-implant tissue management in the aesthetic zone Author_Dr Riccardo Verdecchia, Italy Fig. 6 Fig. 8 Fig. 4Fig. 3 Fig. 5 Fig. 7 CAD0115_36-39_Verdecchia 02.03.15 12:54 Seite 1 CAD0115_36-39_Verdecchia 02.03.1512:54 Seite 1

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