Australasian Dentist Issue 92

CATEGORY AUSTRALASIAN DENTIST 59 abutment was reducedwitha carborundum disc to avoid occlusal contact with the antagonist. The pre-selected tooth was prepared to be adapted to the abutment and bonded with flow composite. The final contouring and polishing were done chair- side by Dr Cristiane Juchem. Single nylon 5-0 sutures were placed around the implant. Analgesics were prescribed post-operatively, and a follow- up check and suture removal was planned oneweek later.The follow-up appointments were scheduled for 30 and 60 days post- surgery (Figs. 19, 20). Single nylon 5-0 sutures were placed around the implant. Analgesics were prescribed post-operatively, and a follow- up check and suture removal was planned oneweek later.The follow-up appointments were scheduled for 30 and 60 days post- surgery (Figs. 19, 20). The coDiagnostiX® software was used for CAD processing, and a metal-free restoration (Zirconia) was cemented (Relyx™ U200, 3M) on top of the Variobase® (RT Variobase, Æ 5 mm, AH 6 mm) for screw-retained rehabilitation. The height of the abutment was adjusted accordingly (Figs. 23, 24). In accordance with the implant manufacturer’s recommendations, the restoration was screwed in with a torque of 35 Ncm (Figs. 27, 28). And finally, the screw access hole was sealed with composite material (Fig. 29). Treatment outcomes Replacing one tooth in the posterior zone and loading it immediately can pose many challenges. Since the key is to identify who is eligible for this type of treatment, , the patient selection is crucial. In this case, we obtained good and predictable results in a short period of time as requested by the patient. The Straumann® TLX allows the implant to be loaded immediately, which in our case proved highly satisfactory in terms of health, esthetics, and function. Author’s testimonial (optional) My short-term experience with TLX has been amazing. I am a big fan of tissue level implants for the posterior region given all the benefits of this renowned design and the absence of the bone level connection, as also reported in the scientific literature. Allied to these advantages of the tissue level, we can now achieve better primary stability and greater confidence in immediate protocols with the new TLX. Therefore, I believe that the new body design and the predictability of the connection on the tissue level will be groundbreaking. u Reference 1. Davarpanah, Mithridade, Szmukler-Moncler, Serge. Immediate loading of dental implants: Theory and clinical practice.1st Ed. Paris: Quintessence International, 2008 LINICAL Figure 19 Figure 22 Figure 25 Figure 20 Figure 23 Figure 26 Figure 28 Figure 21 Figure 24 Figure 27 Figure 29