Dental Tribune United Kingdom Edition

Caring for implants For more information please contact us on 01934 710022, e-mail infoUK@tepe.com or visit tepe.com 1 TePe Implant / Orthodontic Brush • Soft filaments in two rows • Extra-narrow brush head • Long, thin neck, facilitates access and cleaning close to implants and orthodontic wires 2 TePe Angle™ • Angled brush head for excellent access • Available in six brush sizes • Increased control • Ideal for palatal and lingual sites close to implants and orthodontic wires 3 TePe Extra Soft Interdental Brush • Extra-soft filaments for gentle cleaning • Recommended for delicate oral tissue • Available in six brush sizes 4 TePe Implant Care™ • Long filaments with soft or medium texture • Access for lingual and palatal sites • Fits under fixed appliances • Suitable for fixed prostheses and soft tissue cleaning 1 2 3 4 TePe offers a wide range of products for implant care, designed for easy access and efficient cleaning of difficult-to-reach areas. All products are developed in collaboration with dental expertise. No matter what type of implant, looking after them is critical to their long-term success Unique, innovative design for improved implant care The TePe Implant Care’s angled neck, provides improved access to the difficult-to-reach surfaces of implants. The slim shape of the brush head facilitates cleaning even in very narrow areas. Free TePe Implant Care™ sample* E-mail: infoUK@tepe.com Quote: DentalTribune01 *Subject to availability TePe_Implant_Dental_Tribune_A4_1733_12.indd 1 13/11/2012 09:26 and improving their smile us- ing veneers. Another very important fac- tor in prosthetic art is that it requires the collective effort of an entire team - everyone from an attending dentist, an ortho- dontist, and a surgeon/implan- tologist, right up to a dental technician. I have had the great fortune to work with partners who have chosen to work in the same area of technologi- cal development and aesthetic prosthetic work. One of the doctors working closely with my laboratory on a daily basis often remarks, “as the dentist so the technician and vice ver- sa”. Probably, these words re- veal how close the ties have al- ways been between the dental technician and the dentist. The restoration case study I will present here reflects my belief that prosthetic work is a com- bination of modern technology with its skilful use and a high level of artistry in the hands of the technician. Case report A 27-year-old female patient presented to our dental office to achieve a more aesthetic smile. At the age of 17, she had suf- fered an accident (she was hit by a swing), as a result of which her tooth #21 had shifted signif- icantly in an upwards direction owing to significant bone atro- phy and root resorption (Fig 1). The young age of the patient and her still progressing bone growth did not augur success. Only when she was 27 did she pursue improving her ap- pearance. The situation re- quired that she have her tooth extracted, undergo an implant procedure and have a pros- thetic crown placed. The first problem that emerged during the preliminary analysis prior to the implant procedure was that the amount of bone and the thickness of the bone plate would have forced us to add grafting material. The patient did not consent to such a solu- tion and expected a predictable cosmetic effect with the stress on very good final aesthetics. In the first stage, we made a Maryland bridge (Fig 2). Such a solution provided protection for the patient during the os- seointegration period. Several months after the surgical pro- cedure, the implant (in this case Ankylos, DENTSPLY Fria- dent) was exposed. It turned out that the implant was posi- tioned in an excessively palatal direction. The challenge was to restore a symmetrical line to the patient’s cervical margins, as well as a natural biological gingival margin. The back- ward position of the implant required the use of an angled abutment of 30°. Unfortunately, the system we used effectively restricted such an approach, since at the time that the above procedure was performed it was still impossible to achieve customisation in a dental labo- ratory (this is definitely possi- ‘One of the doctors working closely with my laboratory on a daily basis often remarks, as the dentist so the technician and vice versa’ 13Implant TribuneNovember 19-25, 2012United Kingdom Edition page 14DTàFig. 12c Preparation of the abutment