Australasian Dentist Issue 89

Category AustrAlAsiAn Dentist 73 Prosthetic procedure A provisional screw retained crown was used for peri-implant soft tissue manipulation to idealise the pink esthetics (Fig. 4a). After the first review, the contour of the crown was modified to further shape the tissues (Fig. 5a-5e). At the next visit, the soft tissues were deemed to be ideal (Fig. 6a) and a new impression for the definitive crown was recorded with a customized impression coping using addition cured silicone bite registration (Fig. 7a-b) material followed by a conventional impression using addition cured light- and heavy-body silicone impression material. A castable synocta abutment was waxed-up, cast in semi-precious metal followed by layering with feldspathic porcelain (Fig. 8a-8b). A one-piece screw retained crown was tightened to 35ncm (Fig. 9a-9b). Treatment outcome A CBCt scan taken after 5y (Fig. 10-10a) confirms successful bone regeneration which is translated in stable pink aesthetics at 5y (Fig. 11) and maintained after 10y (Fig. 12a-12b). the patient remains delighted with a successful aesthetic outcome. Conclusion this case illustrates successful use of tissue level design, hydrophilic slActive surface implant in achieving and maintaining ideal aesthetic with a long- term follow up of 10 years. Acknowledgement the author acknowledges Mr Alaa Abou Hassan, Chief Ceramist at Ceramic studios, london, who carried out all the technical aspects of this case. u lInICal Figure 4a Figure 6a Figure 11 Figure 12b Figure 12a Figure 7a Figure 7a Figure 9b Figure 10 Figure 10a Figure 8a Figure 8b Figure 9a Figure 5a Figure 5b Figure 5c Figure 5d ® REFER TO BACK COVER FOR AWARD WINNING PULPOTOMY TREATMENT (DUAL CURED) 1800 806 450 www.amalgadent.com.au TheraCal PT Footer Ad #89.indd 2 30-Jun-21 1:28:51 PM