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ePaper created 2016-03-11, 23:13:06 | version 1.38.0
issue 2016 — 25 Advanced Implant Esthetics Article incontactwiththegingivaltissuecanpro- mote earliertissue stabilization. Eliminat- ing or reducing the role of disturbing agents is thus an important goal. Figures 1 to 16 illustrate the use of a 4/3 3i T3 Ta- pered Implant (platform-switched)to im- plement several of the five keys in two compromisedandestheticallydemanding sites. Conclusion Management of anterior implant restora- tionsdemandsahighlyestheticapproachin order to obtain successful outcomes. Mul- tiple interrelated factors influence the re- lationship between the white esthetics of therestorationandthepinkestheticsofthe surrounding gingival tissue. None of these factors should be considered in isolation. Only by coordinating their application can more predictable and harmonious esthetic restorationsbecreated.Theuseofthe3iT3 Tapered Implant and the marginless abut- ment can help clinicians to follow the five stepsexplainedinthisarticleinordertoob- tainbetterestheticresultsforimplant-sup- ported restorations. Fig.11 Fig.12 Fig.14 Fig.13 Fig.15 Fig.16 Fig. 11 Four months after being placed, the implants were uncovered. GingiHue Abut- ments (BIOMET 3i), modi- fied in the laboratory to achieve a 6° taper and margin-free restoration, were placed. This is the first and only abutment swap (handling reduction). Fig. 12 The definitive abutment screws were tightened to 20 N cm, and the screw access openings were restored with composite in preparation for placing the cement-retained provisional bridge. Fig. 13 The patient wore the implant-supported fixed resin bridge for three months, enabling further maturation of the soft tissue. Fig. 14 Eight months after place- ment of the implants, the soft tissue had further ma- tured and stabilized, and the definitive two-unit full- ceramic bridge was fabricated. Fig. 15 Nine months after place- ment of the implants, the definitive zirconia bridge was cemented in place. Fig. 16 Radiograph of the definitive two-unit bridge. Editorial note: A list of refer- ences is available from the publisher. Article_Vela_00-00.qxp_Layout 1 02.03.16 20:54 Seite 4 Article_Vela_00-00.qxp_Layout 102.03.1620:54 Seite 4