Cosmo Dental Center - Dental Care in Cairo & Giza

Cosmo Dental Center

Single Implant Case Study

A single upper front tooth lost to trauma, restored with a guided implant and an E-max crown over four months. Anonymised clinical case documented at Cosmo Dental Center, Cairo.

Treating clinician: Dr. Ahmed Medhat, Implantology & Orthodontics

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Documented clinical before/after image, published anonymously with patient consent. Results vary between cases.

Timeline

4 months from surgery to the definitive crown, across 6 clinic visits.

Cost

Total treatment cost depended on the case and was itemised in writing before treatment, covering the implant fixture and guided surgery, bone graft, provisional crown and definitive E-max crown.

Patient profile

Male, mid-30s, non-smoker, no relevant medical history. Lost an upper central incisor in a sports injury 14 months before presenting.

Patient goals

Replace the missing tooth with a fixed solution rather than a removable partial denture

Match the shade and translucency of the adjacent natural incisor

Avoid preparing the healthy neighbouring teeth for a conventional bridge

Clinical findings

CBCT showed 3.1 mm of buccal bone width at the crest — insufficient for an aesthetic emergence profile without augmentation

Healthy periodontal tissues, no active caries, stable occlusion

High smile line, meaning the gingival margin would be fully visible

Treatment steps

1Assessment and digital planCBCT scan, intraoral scan and photographic records; implant position planned from the projected crown and exported to a printed surgical guide.

Assessment and digital plan

CBCT scan, intraoral scan and photographic records; implant position planned from the projected crown and exported to a printed surgical guide.

2Guided placement with graftingImplant placed through the guide with simultaneous guided bone regeneration on the buccal plate; healing abutment fitted and a temporary bonded bridge maintained aesthetics.

Guided placement with grafting

Implant placed through the guide with simultaneous guided bone regeneration on the buccal plate; healing abutment fitted and a temporary bonded bridge maintained aesthetics.

3Osseointegration periodSixteen weeks of undisturbed healing with radiographic review at 8 and 16 weeks to confirm bone fill and implant stability.

Osseointegration period

Sixteen weeks of undisturbed healing with radiographic review at 8 and 16 weeks to confirm bone fill and implant stability.

4Soft-tissue shapingA screw-retained provisional crown contoured the emergence profile over three weeks so the papillae filled the interdental spaces before the final impression.

Soft-tissue shaping

A screw-retained provisional crown contoured the emergence profile over three weeks so the papillae filled the interdental spaces before the final impression.

5Definitive E-max crownShade mapped chairside with the patient present and layered in the in-house Cosmo Lab; delivered and torqued to the manufacturer specification.

Definitive E-max crown

Shade mapped chairside with the patient present and layered in the in-house Cosmo Lab; delivered and torqued to the manufacturer specification.

Outcome

The definitive crown matched the adjacent incisor in shade and translucency, with a symmetric gingival margin and full papilla fill. Radiographs at 12 months showed stable marginal bone. The patient is on a six-month maintenance recall under lifetime follow-up.