CATEGORY 82 AUSTRALASIAN DENTIST CLINICAL using an intraoral scanner. A monotype scan body was screwed into the implant, and scans were performed of both the upper and lower jaws (Figs. 10-12). The bite registration was digitally transferred for precise alignment. Based on the STL file generated from the scans, a full-contoured screw-retained monolithic zirconia crown was designed and enhanced with a labial layer of porcelain material. This crown was bonded to an RB/WB Variobase® abutment (Fig. 13). In the mouth, the restoration’s interproximal fit and marginal integrity were evaluated. The occlusion was checked in centric and eccentric positions, and esthetic aspects were verified. The crown was then secured with a torque of 35 Ncm and sealed with Teflon and composite. Comprehensive oral hygiene instructions were given (Figs. 14,15). The patient underwent follow-up evaluations to assess the function and longevity of the prosthetic components and overall clinical outcomes. At the oneyear follow-up, the restoration showed excellent clinical outcomes with no signs of complications, and good tissue health (Figs. 16,17). By the two-year follow-up, the prosthetic restoration was continuing to perform well, with no issues concerning the implant or abutment. The soft tissues remained healthy, and the occlusion was well aligned. The patient expressed high satisfaction with both the functional and aesthetic aspects of the restoration, demonstrating the long-term success and stability of the treatment (Figs. 18,19). Treatment outcomes The patient’s treatment outcomes were highly successful, with the prosthetic restoration performing well at both the one-year and two-year follow-ups. The restoration maintained excellent function and aesthetics, with stable prosthetic components and healthy surrounding tissues. Overall, the patient expressed high satisfaction with the functional and aesthetic results, highlighting the longterm success of the treatment. The patient stated: “I was very concerned about my situation since I’m a very social person and my front tooth was moving. I was also feeling pain. After my evaluation and treatment plan presentation, I was confident to take the decision to proceed with an implant after the extraction of the fractured tooth. I was impressed by the level of technology that is being used today and how easy it is for us patients to get involved with our treatments and decisions. My surgery was performed without any complications and, to be honest, was way less invasive than what I had imagined. The whole treatment was finished in less than 8 months, and I’m very happy with the result. It looks very natural, and I returned to my social activities with confidence.” Author’s testimonial The patient appeared very stressed due to her aesthetic concerns with a mobile fractured front tooth. After the analysis, and with the aid of digital planning, I was able to calm her down and present her the planned treatment option in a very didactic way. After the decision was taken to proceed with the treatment, all the planning was accurately transferred to her mouth using S-CAIS. The selection of the appropriate implant placement protocol, the adequate hard and soft tissue management and giving biology the time needed to do its job resulted in a stable and beautiful result. u Figure 16 Figure 18 Figure 17 Figure 19 Figure 14 Figure 15
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