MODIFIED CLINICAL APPROACH FOR IMPROVED AESTHETICS IN FULL-ARCH RESTORATION
Figure 19 . Positive effect on the length of the papilla
Figure 20 . Revascularisation after one minute
Figure 21 . Crowns inserted Figure 22 . Situation after inserting the crowns
Figure 23 . Restoration Figure 25 . Pleasing aesthetic outcome
Figure 24 . Natural-looking outcome
for undersized implant site preparation were necessary . Furthermore , the rough surface of the implant shoulder and the micro-thread design at the collar were important for long-term bone and soft-tissue stability . Platform-switched provisional abutments with concave running room and made of PEEK ( polyether ether ketone ) were additional
features that qualified the implant selected for immediate loading ( Figs 8 , 9 ). Another important aspect covered the parameters applied in the immediate loading of the implants inserted in extraction sockets . Primary stability was achieved with an insertion torque of 35 N cm . About three quarters of the implant surface should be covered by the host bone . The gap between the implant and the buccal bone was augmented to a maximum of 1.5 mm ( Tarnow , 1997 ). Owing to these conditions , we were able to insert immediate implants and to perform immediate loading with a rigid fixed bridge ( Figs 10-12 ). Individual abutments were CAD / CAM fabricated from zirconia ( LAVA , 3M ESPE ) ( Fig . 13 ). Tooth reconstruction was em plo yed to produce the bridge ( Figs 14-17 ). Individually , the running room was modified to a slightly convex or straight profile , so that the tissue was shifted interdentally and another 0.5 to 1 mm
72 STOMA . EDUJ ( 2016 ) 3 ( 1 )