MODIFIED CLINICAL APPROACH FOR IMPROVED AESTHETICS IN FULL-ARCH RESTORATION
was gained in papilla length. The convexities of the crown contour at the gingival margin were produced with respect to the harmony of the pink and white aesthetics( Figs 18-22). Symmetry, the golden proportion and the individual demands of the patient were given particular consideration( Figs 23-25).
5. Conclusion
The target of modern dentistry is the achievement of a natural aesthetic outcome, function and stability using a minimally invasive, maximally effective technique and in a reasonable period. The treatment method presented herein, with the main aim of imitating or even improving the natural dentition, has been used for 12 full-arch cases over the last two years. In order to obtain the natural gingival architecture between implants, we adhere to the following: 1. immediate implant placement in perfect implant position; 2. immediate loading of the implant under initial stable conditions;
3. use of implant systems with a platformswitching design;
4. use of provisional abutments with a convex profile; 5. use of provisional crowns with a flat profile; 6. use of final abutments with a slightly convex profile to move the tissue gained into the interdental space;
7. r estoration of the natural proportion of the interdental spaces and contact points; and 8. creation of narrow triangles, forming space for the papillae.
The authors wish to acknowledge Roland Danneberg, master technician, for the prosthetic work. All images were created in Dental Master. Material copyright by MD Simulation Ltd( www. dentalmaster. net).
Acknowledgments
The authors declare no conflict of interest related to this study. There are no conflicts of interest and no financial interests to be disclosed.
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