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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