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Fig 2: The patient wanted fixed teeth on implants, preferably with Fig 3: Intraoral scan of the maxilla (Source: Dr. Jan Erik Jansohn)
immediate restoration. (Source: Dr. Jan Erik Jansohn)

Fig 4: CBCT image of the initial situation (Source: Dr. Jan Erik Jansohn) Fig 5a-b: Implant planning in exoplan. (Source: exocad)

Fig 5b Fig 6: The available bone is optimally utilized, planned implant positions at
13, 15, and 17 (Source: exocad)

implant-supported bridge. One implant (length 10 mm, diameter 3.3 at 13. A tooth-supported surgical guide was designed in exoplan /
mm) was positioned exactly in front of the sinus at 15, and the second Guide Creator (Figure 7) to ensure precise implant placement during
implant (length 8 mm, diameter 4.1 mm) was planned in region 17 the surgery. Given the planned immediate implant placement after
(Figure 6). The software’s warnings and safety distance indications extraction of tooth 13 and the immediate restoration, conical bone-
were particularly useful in this process. level implants with an aggressive implant thread design (SLActive,
The canine tooth, deemed non-restorable, was to be extracted, Straumann Group) were chosen to achieve the required high primary
and an implant (length 12 mm, width 4.1 mm) inserted immediately stability. Following the planning, a long-term provisional restoration

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Dental Practice I March-April 2025 I Vol 21 No 2 55