implants - international magazine of oral implantology

251_2014 restoration was fabricated and marginated using a synOcta laboratory analog as described by Hig- ginbottom and coworkers 2004 (Figs. 19, 20). The peri-implant soft tissues were allowed to mature around the provisional restoration for four weeks prior to final impression (Figs. 21-23). Following connection of the analog to the impression cop- ing, a master cast was fabricated to reproduce the implant location three-dimensionally. The master cast was then utilized to aid in the creation of a screw-retained cast-metal crown framework us- ing a non-rotational synOcta gold coping. Follow- Fig. 19_Margination of an acrylic screw-retained provisional restoration. Figgs. 20a, b_Emergence profile obtained using an acrylic provisional restoration. Fig. 21_Placement of the provisional restoration. Note the initial closure of the mid-line diastema, resulting in a crown morphology which is too wide mesial-distally. Fig. 22_Buccal view of soft tissue profile following tissue remodeling using the acrylic provisional restoration. Fig. 23_Occlusal view of the peri-implant sulcus following tissue remodeling using the acrylic provisional restoration. At the time of final impression, a synOcta screw-retained impression coping was attached to the implant and an open tray impression technique was utilized (Figs. 24, 25). Fig. 24_Occlusal view of synOcta screw retained impression coping. Fig. 25_Final Impression. Fig. 26_Occlusal view of mature peri- implant sulcular tissue with synOcta abutment. Fig. 19 Fig. 21 Fig. 23 Fig. 25 Fig. 22 Fig. 24 Fig. 26 Fig. 20a Fig. 20b C.E. article _ immediate implant placement