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Accurate registration of peri-implant soft tissues to create an optimal emergence profile.

Alshiddi IF, Dent DC - Contemp Clin Dent (2015)

Bottom Line: A 49-year-old male presented with missing right maxillary lateral incisor.Two months later, an indirect method was used to accurately transfer the soft peri-implant tissues to the master cast.This clinical technique minimizes surgical procedure and avoids the possibility of soft tissue collapsing that may occur during the impression procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia.

ABSTRACT
One of the challenges in restoring anterior space with implant restoration is maintaining the natural looking of peri-implant area. This case report presents a clinical procedure to create the soft tissue emergence profile for anterior maxillary teeth. A 49-year-old male presented with missing right maxillary lateral incisor. A provisional restoration was inserted 1 week after implant placement. Area of the provisional restoration related to the gingival tissue (transmucosal area) was adjusted to create an optimum emergence profile. Two months later, an indirect method was used to accurately transfer the soft peri-implant tissues to the master cast. This clinical technique minimizes surgical procedure and avoids the possibility of soft tissue collapsing that may occur during the impression procedure.

No MeSH data available.


Related in: MedlinePlus

Clinical view for the final restoration
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Figure 7: Clinical view for the final restoration

Mentions: The temporary abutment was removed, and the provisional restoration was cemented properly on the abutment. A silicon putty impression material was mixed and placed in a plastic cup. While the putty material was still soft, the temporary abutment with the restoration fitted on an implant replica (NP, Nobel Biocare, Switzerland), and placed directly in the soft mix. The implant replica and the gingival third of the crown were immersed in the putty material as shown in Figure 6a. After complete setting of the putty material, the temporary abutment with the restoration was removed [Figure 6b], and impression coping was screwed to the implant replica [Figure 6c]. A resin material powder and liquid (Duralay, Reliance dental Mfg, Worth, IL) was mixed and placed around the impression coping to fill the area of the gingival contour [Figure 6d]. After complete setting, the impression coping transferred to patient mouth and fitted accurately [Figure 6e]. Final impression was taken using vinyl polysiloxane impression material (Virtual®, Ivoclar vivadent®, Italy) [Figure 6f]. The impression was sent to the laboratory, and screw-retained porcelain-fused to metal crown was fabricated. Figure 7 shows the natural soft tissue emergence profile obtained after crown placement.


Accurate registration of peri-implant soft tissues to create an optimal emergence profile.

Alshiddi IF, Dent DC - Contemp Clin Dent (2015)

Clinical view for the final restoration
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4374309&req=5

Figure 7: Clinical view for the final restoration
Mentions: The temporary abutment was removed, and the provisional restoration was cemented properly on the abutment. A silicon putty impression material was mixed and placed in a plastic cup. While the putty material was still soft, the temporary abutment with the restoration fitted on an implant replica (NP, Nobel Biocare, Switzerland), and placed directly in the soft mix. The implant replica and the gingival third of the crown were immersed in the putty material as shown in Figure 6a. After complete setting of the putty material, the temporary abutment with the restoration was removed [Figure 6b], and impression coping was screwed to the implant replica [Figure 6c]. A resin material powder and liquid (Duralay, Reliance dental Mfg, Worth, IL) was mixed and placed around the impression coping to fill the area of the gingival contour [Figure 6d]. After complete setting, the impression coping transferred to patient mouth and fitted accurately [Figure 6e]. Final impression was taken using vinyl polysiloxane impression material (Virtual®, Ivoclar vivadent®, Italy) [Figure 6f]. The impression was sent to the laboratory, and screw-retained porcelain-fused to metal crown was fabricated. Figure 7 shows the natural soft tissue emergence profile obtained after crown placement.

Bottom Line: A 49-year-old male presented with missing right maxillary lateral incisor.Two months later, an indirect method was used to accurately transfer the soft peri-implant tissues to the master cast.This clinical technique minimizes surgical procedure and avoids the possibility of soft tissue collapsing that may occur during the impression procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia.

ABSTRACT
One of the challenges in restoring anterior space with implant restoration is maintaining the natural looking of peri-implant area. This case report presents a clinical procedure to create the soft tissue emergence profile for anterior maxillary teeth. A 49-year-old male presented with missing right maxillary lateral incisor. A provisional restoration was inserted 1 week after implant placement. Area of the provisional restoration related to the gingival tissue (transmucosal area) was adjusted to create an optimum emergence profile. Two months later, an indirect method was used to accurately transfer the soft peri-implant tissues to the master cast. This clinical technique minimizes surgical procedure and avoids the possibility of soft tissue collapsing that may occur during the impression procedure.

No MeSH data available.


Related in: MedlinePlus