MODIFIED CLINICAL APPROACH FOR IMPROVED AESTHETICS IN FULL-ARCH RESTORATION
was gained in papilla length . The convexities of the crown contour at the gingival margin were produced with respect to the harmony of the pink and white aesthetics ( Figs 18-22 ). Symmetry , the golden proportion and the individual demands of the patient were given particular consideration ( Figs 23-25 ).
5 . Conclusion
The target of modern dentistry is the achievement of a natural aesthetic outcome , function and stability using a minimally invasive , maximally effective technique and in a reasonable period . The treatment method presented herein , with the main aim of imitating or even improving the natural dentition , has been used for 12 full-arch cases over the last two years . In order to obtain the natural gingival architecture between implants , we adhere to the following : 1 . immediate implant placement in perfect implant position ; 2 . immediate loading of the implant under initial stable conditions ;
3 . use of implant systems with a platformswitching design ;
4 . use of provisional abutments with a convex profile ; 5 . use of provisional crowns with a flat profile ; 6 . use of final abutments with a slightly convex profile to move the tissue gained into the interdental space ;
7 . r estoration of the natural proportion of the interdental spaces and contact points ; and 8 . creation of narrow triangles , forming space for the papillae .
The authors wish to acknowledge Roland Danneberg , master technician , for the prosthetic work . All images were created in Dental Master . Material copyright by MD Simulation Ltd ( www . dentalmaster . net ).
Acknowledgments
The authors declare no conflict of interest related to this study . There are no conflicts of interest and no financial interests to be disclosed .
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