Guided bone regeneration and guided Straumann TLX implant surgery with digital workflow on aesthetic area – a case report
Aluno: William Scholze
Orientador(a): Prof. Dr. Rafael Demeterco Reggiani
Área: Implantodontia
Ano: 2025
This case report discusses the clinical decision-making and surgical workflow involved in the rehabilitation of a 39-year-old female patient with congenitally missing and impacted canines, using immediate loading implant protocols in the aesthetic zone. Following unsuccessful orthodontic repositioning, tooth 13 was surgically removed and the site underwent guided bone regeneration (GBR) using Cerabone Plus and Membrane Flex. After an 8-month healing period, Straumann TLX implants were placed in positions 13 and 23 using a fully digital, prosthetically driven workflow. The implants achieved high primary stability (45 Ncm and 80 Ncm respectively), permitting immediate loading. Temporary prostheses were fabricated with carefully contoured emergence profiles to support soft tissue aesthetics. Final prostheses were delivered after 30 days, following digital scanning and tissue conditioning. This report highlights the clinical, radiographic, and prosthetic steps necessary to achieve predictable esthetic outcomes using modern implant systems and digital planning tools in immediate loading protocols. The case reinforces the importance of bone quality assessment, primary stability, and emergence profile design in the esthetic zone for long-term success.