implants international magazine of oral implantology

industry report I _Treatment The full-thickness flap with no incision for ten- sionreductionwasraisedafterplacingthethreeim- plants(3.8x11inposition13,4.3x11inpositions14 and 16) and their healing screws (wide body, 4 mm inlength).Thesmallpedicleflaps(usingatechnique derived from Palacci) provided for closure of the edges without tension, forming the future papillae (Figs. 2 & 3). After the wounds had healed, irregular wounds werecorrectedbygingivoplastywithacauteryknife (Figs. 4 & 5). Closed-tray pop-in impression trans- fers were then applied, which are easier to use than open-tray transfers and are just as precise in the CAMLOG Implant System when the implants show little angulation towards each other (Fig. 6). With the impression transfers in place, the impression wastaken(Fig.7).Figure8showsthepositivemodel withartificialgingivaandaviewofthepartsusedby the laboratory for fabricating the bridge. Since the implants showed little divergence, straight Vario SR abutments were placed in the model (Fig. 9). Burn-out copings with no anti-rota- tion plane were then placed (Fig. 10) and fitted (Fig. 11). The next step entailed the placement of the wax modelteethonthecopings(Fig.12).Thecastframe- work was then produced (Fig. 13) and checked on the model (Fig. 14). Figure 15 shows the rough framework. After reviewing the gingival wells formed by the healingcaps(Fig.16),VarioSRprostheticabutments were placed (Fig. 17). The gingival quality at this point promoted overall stability (Fig. 18). SeveralX-raysweretakenduringtheinsertionof the abutment screws to check for complete passiv- I 37implants2_2012 Fig. 5 Fig. 6 Fig. 5_Clinical view after eight weeks (at the time of impression taking). Fig. 6_Pop-in impression transfers in place. Please contact Claudia Jahn c.jahn@oemus-media.de AD