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Implant Tribune United Kingdom Edition

17Implant TribuneJanuary 2014United Kingdom Edition • Fill with up to 4 mm bulk increments due to lvocerin, the patented light initiator • Sculpt and contour with ease as a result of the material’s smooth consistency • Then light-cure for ten seconds using the short, 10-mm Bluephase Style light probe … • … and the esthetic restoration is done! Watch the Tetric EvoCeram Bulk Fill & Bluephase Style animation at: www.ivoclarvivadent.com/bulkfill_en For even more efficient posterior restorations Tetric EvoCeram ® Bulk Fill & Bluephase ® StyleThe bulk-fill composite The curing light www.ivoclarvivadent.co.uk Ivoclar Vivadent Limited Ground Floor Compass Building | Feldspar Close | Warrens Business Park | Enderby | Leicester LE19 4SE | United Kingdom | Tel. +44 116 284 78 80 | Fax +44 116 284 78 81 Figs Figs. 1–12_Radiographic long-term con- trol helps maintain the implant’s bone/ soft tissue stability. Figs. 13–16_Bridge works. Figs. 17 & 18_Complex bridge works. Figs. 19–22_Fixed-on-SHORTTM tech- nique for fixed, metal free prosthetics. implant designs have not been investigated. It would be benefi- cial for the dental practitioner to understand what factors are as- sociated with crestal bone gain on single-tooth implants after crown insertion. Radiographic long-term control also as a clini- cal observation of the soft tissue structures surrounding the abut- ment emergence profile can pro- vide the clinician with a better understanding of an implant’s bone/soft tissue stability (Figs 1–12). The ideal scenario in mod- ern implant dentistry would be the implant replacement for every missing single tooth (Figs 13&14). The single tooth re- placement guarantees good aes- thetics, consequently to the fact that a single crown that follows all criteria of a natural-looking soft tissue emergence profile can support the soft tissue in or- der to recreate papillae anatomy. Another important aspect of single crown restorations on implants is that the patient can follow a better oral hygiene compared to bridgeworks. Nev- ertheless, bridgeworks are com- monly used as alternatives to single tooth replacement. The reasons are multifactorial, with the cost benefit factor at first place (Figs 15&16). Another significant facet is the atrophic bone situation of the patient, were complicated and expen- sive bone graft procedures are needed before even thinking of placing single implants. Alternatively to sophisticat- ed and expensive bridge works (Figs 17&18), cost-effective and simple prosthetic techniques were developed in the last years. One of these techniques, the Fixed on SHORT™, allows to provide the patients with bone atrophies or partial bone defi- ciencies with a fixed, metal free prosthetic that can be supported by four to six short implants (Figs 19–22). Conclusion In this short and synthetic article, the authors like to show the va- riety of treatment options when implants and prosthetic materi- als are used with the criteria of long-term crestal bone preser- vation, recreation and long-term stabilisation of the biological width around the implant/crown and the use of short- and ultra- short implants in all clinical situ- ations. The proper selection of an ultra-short or short implant depends strictly on the implant design, which dictates the im- plant’s function. DT Editorial note: A complete list of references is available from the publisher. ‘The ideal scenario in modern implant dentistry would be the implant replace- ment for every miss- ing single to’ About the author Prof. Dr Mauro Marincola Via dei Gracchi, 285 I-00192 Roma, Italy mmarincola@gmail.com Fig 21 Fig 22 Leicester LE19 4SE | United Kingdom | Tel. +441162847880 | Fax +441162847881

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