Present Situation

The patient presented with fractured tooth #8 and varying gingivia heights between teeth #8 and #9.

The patient was extremely esthetic-conscious, which added an extra layer of complexity to the treatment plan.

Clinical Solution

Patient opted for removing tooth #8 for an implant, which was planned and performed using the Adinguide™ guided implant surgery system, along with autogenous bone graft from an osteotomy. This was supplemented with demineralized freeze-dried bone and PRF sticky bone to promote healing and integration of the implant.

A subepithelial connective tissue graft was applied to the facial aspect of the implant site using a microsurgical blade. This helped to achieve the desired gingival contour and height, meeting the patient’s aesthetic demands.

The images accompanying this case study provide a detailed visual representation of the procedure. They highlight the precision of the guided implant surgery and the effectiveness of the grafting techniques in achieving the desired aesthetic outcomes.

This case study demonstrates the importance of a tailored and patient-centric approach to dental implant procedures. It shows how advanced technologies, like Adin’s guided implant surgery system, can help meet the aesthetic demands of even the most discerning patients.

About the Author

Dr. Jay Rubin is a Board Certified Periodontist specializing in the treatment of periodontal disease and in the surgical placement of dental implants. He is the director of implant dentistry and an Assistant Professor of Dentistry at Touro College of Dental Medicine. He is course director for the second year class “Intro to Dental Implants” and the fourth year course “Advanced Implant Case Review.” His area of expertise is in hard (bone) and soft tissue (gum) grafting, sinus augmentation, treatment of periodontal disease and dental implants. He is also certified in the pinhole surgical technique for gum rejuvenation and the LANAP protocol for laser treatment of periodontal disease. Dr. Rubin has always enjoyed teaching and giving over his knowledge to the next generation. Prior to joining Touro College of dental medicine, Dr. Rubin previously held positions on the faculty of Columbia College of Dental Medicine and Fairleigh Dickinson Universities, where he taught third and fourth-year students in periodontics. He is an international lecturer and has lectured for various hospitals, residency programs, implant companies and dental meetings. Dr. Rubin graduated from Yeshiva University with a Bachelor’s degree in Biology. Dr. Rubin then earned his D.M.D. from the prestigious University of Pennsylvania, and was certified in advanced general dentistry and periodontics at Fairleigh Dickinson University. He received board certification in periodontology and dental implant surgery from the American board of periodontology.