Australasian Dentist Issue 92

CATEGORY AUSTRALASIAN DENTIST 75 Figure 19 1 year review CBCT showing buccal root shield and implant placement LINICAL The patient was reviewed over a period of 4 months to allow for full integration and healing of the Implant. After this the temporary crown was removed, osseointegration confirmed using smart peg ISQ testing once more and intra oral scan of the implant along with the crown preparation of the adjacent restored discoloured tooth. Time was taken here to check the scan captured the emergence profile that was developed and maintained with the temporary crown. A final Lithium Disilicate crown was delivered for both the implant and the adjacent central incisor 3 weeks later. Discussion The Partial Extraction Technique can be difficult to perform initially but when consistent analysis and workflow is adopted can be very rewarding for both clinicians and patients. This case exhibited a satisfactory result where the patient reduced surgical procedures to one alone with no removable appliances. u Dr Johan Weemaes, Principal dentist – Avenue Dental Maroochydore Contact: 0403 407 790 Johan.weemaes@gmail.com Figure 7 Implant planning Figure 8 Occlusal view pre operative Figure 9 Buccal root shield and Implant placement Figure 10 Provisional temporary in place Figure 11 Provisional crown in place Figure 12 Immediate post operative radiograph Figure 13 Temporary appliance removed and crown preparation of adjacent tooth Figure 14 Emergence profile development Figure 15 Intra oral scan for final Figure 16 Final photograph immediate post insertion Figure 17 Side profile photograph post insertion Figure 18 Smile line post insertion Dr Johan is running implant seminars on 11-12 June 2022 on Sunshine Coast DIO Implant runs the following programs in 2022 Perth: 2-3rd April, Melbourne: 14-15th May and Sydney: 25-26th June. Please contact orders@dioasiapacific.com or Han on +61 0431 442 866 for more information radiographically and torqued to 25Ncm. Occlusion was controlled strictly to have no contact in any excursive movements or Maximal Intercuspal position. No suturing was required and the patient was given clear written post operative care instructions in how to control healing and minimise complications.