MODIFIED CLINICAL APPROACH FOR IMPROVED AESTHETICS IN FULL-ARCH RESTORATION
Figure 19. Positive effect on the length of the papilla
Figure 20. Revascularisation after one minute
Figure 21. Crowns inserted Figure 22. Situation after inserting the crowns
Figure 23. Restoration Figure 25. Pleasing aesthetic outcome
Figure 24. Natural-looking outcome
for undersized implant site preparation were necessary. Furthermore, the rough surface of the implant shoulder and the micro-thread design at the collar were important for long-term bone and soft-tissue stability. Platform-switched provisional abutments with concave running room and made of PEEK( polyether ether ketone) were additional
features that qualified the implant selected for immediate loading( Figs 8, 9). Another important aspect covered the parameters applied in the immediate loading of the implants inserted in extraction sockets. Primary stability was achieved with an insertion torque of 35 N cm. About three quarters of the implant surface should be covered by the host bone. The gap between the implant and the buccal bone was augmented to a maximum of 1.5 mm( Tarnow, 1997). Owing to these conditions, we were able to insert immediate implants and to perform immediate loading with a rigid fixed bridge( Figs 10-12). Individual abutments were CAD / CAM fabricated from zirconia( LAVA, 3M ESPE)( Fig. 13). Tooth reconstruction was em plo yed to produce the bridge( Figs 14-17). Individually, the running room was modified to a slightly convex or straight profile, so that the tissue was shifted interdentally and another 0.5 to 1 mm
72 STOMA. EDUJ( 2016) 3( 1)