MODIFIED CLINICAL APPROACH FOR IMPROVED AESTHETICS IN FULL-ARCH RESTORATION
Figure 12 . After healing
Figure 13 . Modification of the soft-tissue biotype to a straight or slightly convex profile
Figure 14 . Individually fabricated zirconia abutments ( LAVA ) on a titanium base , with a preparation limit of 0.5 mm below the gingival margin
Figure 15 . Individually fabricated zirconia CAD / CAM abutments and IPS e-max lithium disilicate ( Ivoclar Vivadent ) ceramic crowns
Figure 16 . Manipulation of the soft tissue to achieve the desired aesthetic outcome
Figure 18 . Insertion of the abutments , allowing one minute of compression
Figure 17 . Aesthetic gingival outcome shown on the model
At the laboratory , a mock-up of the intended result was created . Afterwards , the mock-up was discussed with the patient and tried in chairside . At the next appointment , implant placement using a provisional and surgical , aesthetic-driven guide , fabricated by the laboratory in advance , and immediate restoration followed the chairside stage . The implants were selected in order to allow immediate loading . For immediate loading , an implant ’ s features and insertion protocol have to provide for high primary stability . Therefore , self-cutting threads and a drilling protocol
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