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CAD/CAM – international magazine of digital dentistry No. 3, 2017

digital technology in fixed implant prosthodontics case report | Fig. 3 Fig. 4 Surgical procedure The planning of the immediate implant enables us to reduce treatment time, leading to greater patient satisfaction and less bone resorption, as well as opti- mising function and aesthetics from the very first sur- gical step. In order to achieve successful implant treatments, a review of the literature shows that min- imally traumatic surgery is essential, thus preserving the alveolar architecture and surrounding soft tissue. After probing the proximal bone crests, we performed the extraction of tooth 21 and careful socket curet- tage. The customised surgical guide was adapted and stabilised (Fig. 6); the placement followed the prede- termined position and recommended torque for the Bone Level Roxolid SLActive implant, selected for the combination of Roxolid material and the SLActive surface that increases the resistance for small diam- eter implants. This provides greater confidence and peace of mind for the resolution of anatomically chal- lenging cases. The occlusal adjustment is a crucial step for a predictable case outcome, to ensure that forces are not transmitted to the implant sooner than expected, thus compromising the final result of the procedure. The patient must receive proper instruc- tion in hygiene and postoperative care (Figs. 7–9). Fig. 5 Fig. 6 Fig. 7 Fig. 8 Fig. 9 Fig. 10 Fig. 11 CAD/CAM 3 2017 17

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