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34 Dental Tribune Middle East & Africa Edition | September-October 2015referral clinic < Page 33 Fig. 13a: Impression coping for open tray “pick up” impression technique Fig. 14: Healing abutment in place Fig. 17b: Periapical x-ray at insertion Fig. 17a: CBCT image at the time of insertion showing proper implant placement within the bony housing Fig. 13c: Medium body addition cured polyvi- nyl-siloxane impression material Fig. 16a: Screw retained zirconia all ceramic crown with the screw access-hole prior to screw access hole closure. Fig. 18a: Periapical x-ray at three-month recall appointment Fig. 13b: Seating of the impression coping Fig. 15: Zirconia CER-ZR-58 post manual grinding in the laboratory prior to porcelain buildup. Note the appropriate porcelain support for all ceramic screw retained crown. Fig. 13d: Open tray impression with the impres- sion coping Fig. 16b: Final crown at 3 month post-op ap- pointment shows a stable periodontium around the all-ceramic screw retained prosthesis. Fig. 18b: Bitewing x-ray at three-month recall appointment Fig. 18c: Lateral intraoral photo at three-month post op appointment b). Finally on the same day the screw-retained restoration is in- serted and the prosthetic screw is torqued to 45 Ncm before seal- ing the screw access hole with composite restoration (Figure 16a, b). The CBCT and conven- tional x-rays shows an appropri- ate positioning of the implant within the correct bony housing (Figure 17a, b). Not only is it a pleasure to ren- der this swift treatment to this patient, but also general dentists find this treatment very ben- eficial to their patients, since the treatment is finalized in one appointment. This one appoint- ment SameDay Dental Implant concept saves time and money both for dentist and patient. The dentist saves expensive chair side time whilst the patient does not have to stay away from work or social responsibilities. Once again, by working as a team and establishing a refer- ral base, we can turn around cases faster and better thereby strengthening the trust in our profession as a whole. This is a gratifying experience for all members of the team and in particular for the patient who doesn’t have to be seen by the dentist multiple times. Truly this is an implant solution for a pa- tient with a busy life. At the three-month checkup appointment, periapical and bitewing x-rays show stabilized bone levels and clinical solid- ity of the implant & SameDay Zirconia crown (Figure 18a,b, c). Although in this case no ad- justments were needed, we can easily make any changes should addition of porcelain be needed due to soft tissue changes. This can be done quite easily since this crown is a screw-retained restoration and is retrievable in a fee minutes. About the Authors Dr. Costa Nicolopoulos, BDS cum laude, FFD (SA) MFOS Oral & Maxillofacial Surgeon SameDay Dental Implants Clinic BRANEMARK OSSEOINTEGRA- TION CENTER – DUBAI costa@samedayme.com Dr. Safa Tahmasebi, D.D.S, M.S Cert. Prosthodontist (USA) SameDay Dental Implants Clinic BRANEMARK OSSEOINTEGRA- TION CENTER – DUBAI safa@samedayme.com Contact Information SameDay ® Dental Implants Clinic Unit 107, Building 39, DHCC Dubai ,UAE. T: +971 (0) 44275010 M: +971 (0) 567246903 F: +971 (0) 44275011 E: info@samedayme.com W: www.samedayme.com Jumeirah clinic opening soon. Unit 107-108 Building 39, Dubai Healthcare City, Dubai, UAE