Australasian Dentist Magazine Nov Dec 2021

Category 68 AustrAlAsiAn Dentist titanium abutment (Variobase ® , institute straumann AG, Basel, switzerland)(Fig. 18). A few hours later the patient was leaving the office with an immediate implant placed and functional provisional screw-retained restoration (Fig. 19 and 20). in taiwan to celebrate the Chinese new Year, the patient was caught up in the first COViD-19 restrictions and the return to the office was compromised for a few days. upon the patient’s return the final crown was initiated by another intra oral scanning to copy all the gingival contours after healing time (Figs. 21 and 22). A full monolithic zirconia crown was milled and cemented to a Variobase ® 5mm x AH 6mm and properly seated with occlusal and contact points checked. the screw access was properly closed with teflon tape and light curing composite (Fig 23). Treatment outcomes From a clinical perspective the immediate placement and function was very well indicated as it can be verified through the gingival margins and health; and bone levels throughout the healing phase, final and 1 year follow up pictures. (Figs. 24 to 29) the patient very satisfied with the result in relation to chewing performance and esthetics. in addition given his time restriction to undergo several treatment appointment, the possibility to have a very close to final restoration immediately after the surgical procedure requiring only another session to finalize the treatment, according to him it was by far more desirable than his initial dental implant procedures. u Fig. 27: TLX 1 Year follow up clinical outcome Fig. 23: Temporary crown removed and monolithic Zirconia crown ready for insertion Fig. 24: Final result – lateral view Fig. 25: Final result – Occlusal view Fig. 28: TLX 1 Year follow up clinical outcome Fig. 26: Final outcome radiograph Fig. 29: 1 Year follow up radiograph show stable peri-implant stability Fig. 21: Gingival healing ready to initiate final crown Fig. 22: Scan body in position for digital impression Fig. 19: Temporary crown immediately seated Fig. 20: Temporary crown immediately seated liniCal