GAP Australasian-Dentist-May June 2019

Category 60 AustrAlAsiAn Dentist Figure 12: Fabrication of the first provisional restoration so that its marginal portion stays supragingival after connection. Figure 15: Coronal migration of the marginal tissues. Figure 13: Different views of the space between the marginal tissue and the provisional restoration. Figure 16: Two weeks post op. Figure 17: Twelve weeks post op. Figure 18: Removal of the permanently cemented first provisional restoration twelve weeks post op. Figure 11: Slow absorbable bone substitute material is packed to fill the gap. Vertical mattress sutures and final radiographic control. Figure 14: The Marginal Migration Concept (MMC) step by step illustration. Figure 10: Slow absorbable membrane forming and placement in the alveolus in contact with the internal wall of the buccal plate. Figure 19: Occlusal view of the tissues healing. Figure 20: Fabrication and relining of the second provisional (transitional) restoration in order to guide the maturation of the per implant soft tissue to the desired architecture. Figure 21: Vent creation on the palatal portion of the transitional restoration for the cement to escape and a pillar in the centre for better retention. Figure 22: Facial view of the transitional restoration. Figure 23: Before and after the contouring of the soft tissue with the transitional restoration. Figure 24: “The digital footprint” of the site. lInICal