Upper centrals.100% CAD/CAM . Reversed Restorative Rehabilitation-RRR . 4-Year follow up
55y.old male had a broken #8, failed apicoectomy #9 with fistulas on both.
Russian AAA (Andrews Advanced Augmentation) was applied.
During a single surgery
1. #8,9 teeth were extracted,
2. Two Legacy 2 (ImplantDirect, USA) 4.7x11.5mm implants with 4.5 mm platform were placed without any guide.
3. Bone Augmentation with Dynablast (Keystone, USA) ,SonicweldRX (KLS-Martin)was done. Incisal foramen was also grafted.
4. The site was sutured WITHOUT primary closure using PRF as a membrane.
When 5 months later, Implants were uncovered, intraoral scan was done with TRIOS(3Shape) and 3mm-tall healing abutments were placed .
The case was designed by author with Dental System (3Shape) for 2 splinted (due to bruxism ) 100% digital CAD/CAM FCZ , screw-retained crowns.
Andrews RRR (Reversed Restorative Rehabilitation) method was utilized to design the ideal emergence profile.
No CBCT, no impressions, no models, no dental techs.