implants - international magazine of oral implantology

271_2014 ing the insertion of a 1.5 synOcta abutment (Fig. 26), which was hand tightened, the crown frame- work was attached to the implant with an SCS occlusal screw and a second definitive impression using a closed tray technique was made to verify the peri-implant soft tissue profiles (Figs. 27-30). The ceramic work was completed at the laboratory using this accurate master cast. The 1.5 synOcta abutment was torqued to 35n/ cm2 and the final crown was seated and checked for marginal fit, occlusal and interproximal con- tacts and emergence profile (Fig. 31). Final glazing of the ceramics was then performed, and the SCS occlusal screw was tightened to 15n/cm2 . The screw access was obturated with a cotton pledget and re- stored with a light cured composite (Fig. 32). A periapical radiograph was obtained to es- tablish a baseline marginal bone level with main- tenance visits scheduled every 6 months with the dental hygienist (Figs. 33, 34). The one-year fol- low-up showed an excellent result clinically and radiographically with very stabile peri-implant soft tissues and optimal crestal bone heights (Fig. 35). The article was published for the first time on Implants C.E. #3 2013. 1. Beagle,J.R.(2006).“Theimmediateplacementof endosseous dental implants in fresh extraction sites.”DentClinNorthAm50(3):375-389,vi.Be- agle, J. R. (2006). “The immediate placement of endosseous dental implants in fresh extraction sites.” Dent Clin North Am 50(3): 375-389, vi. 2. Belser, U., W. Martin, et al. (2007). Implant The- rapy in the Esthetic Zone. Berlin, Quintessence Publishing Co, Ltd. 3. Higginbottom, F. (2005 ). “Implants as an option in the esthetic zone.” J Oral Maxillofac Surg 63(9 Suppl 2): 33-44. _references Dr. Jay R. Beagle is a Fellow of the ITI, and a leader in the fields of periodontics and dental implant surgery. Trained at the Indiana University School of Dentistry, Dr. Beagle received his Periodontal Certificate and Masters Degree from the University of Kentucky. He remains at the forefront of implant dentistry research, development, and education, most notably in the areas of immediate placement and anterior esthetics. Dr. Beagle has lectured extensively both nationally and internationally, including presentations at ITI World Symposia, the American Academy of Periodontology, the Academy of Osseointegration, and the European Academy of Osseointegration. Devoted to education, Dr. Beagle has published and co-authored numerous articles and a surgical training CD-ROM, participates in numerous national and international committees and consensus conferences, and is actively involved with clinical dental research, with several clinical research projects continually in progress. Dr. Beagle maintains a private practice in Indianapolis, Indiana, limited to periodontics and dental implant surgery. _about the author Figgs. 35a-c_Buccal and extended buccal views of one year post- restoration of an immediately placed 12 mm 3.3-4.8 TE Straumann Dental Implant. Note the maturation of the peri-implant soft tissues. Fig. 36_Periapical radiograph of tooth #8 one year following restoration. Note no change in the interproximal bone levels. Fig. 35a Fig. 35b Fig. 35c Fig. 36 C.E. article _ immediate implant placement