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use of CBCT cone beam supplement | Fig. 9a Fig. 10a Fig. 9b Fig. 10b planning before starting the prosthetic work (Figs. 9a & b). The area under the gingiva must be concave to allow the tissue to grow and have a proper thickness, but there are some areas where we need also a convex part of the crown that can push the gingiva to the ideal contour. Only taking care of all these details can give satisfactory results, when implant restorations can look naturally (Figs. 10a & b). Conclusion At eight months’ follow-up, the patient was very happy with the final result, and so was I; the implant and surrounding tissue were stable. Monitoring difficult cases with CBCT is mandatory to avoid unexpected complications, as we know that raising a flap on an augmented area means lost bone and nobody wants that. Moreover, CBCT scans assure better diagnostic, treatment planning and predicta- ble results._ contact Dr Cosmin Dima has graduated from the Faculty of Dentistry, University of Medicine and Pharmacy “Carol Davila” Bucharest (UMF) in 2001. Since then he has continued postgraduated education and became a certified implantologist in 2004. From 2014, he holds a master’s degree in periodontology and in 2016 he started his PhD in surgery on the theme “Bone regeneration”. Dr Dima is a member of: Society of Esthetic Dentistry in Romania (SSER), European Society of Cosmetic Dentistry (ESCD), International Congress of Oral Implantolo- gists (ICOI) and Member of Implant Prosthetic Section of the ICOI. He can be contacted at drdima@dentalprogress.ro. CAD/CAM 3 2017 49 I also decided to augment the nasopalatine area to insert the implant in the correct three-dimensional position from the prosthetic point of view. I choose the V3 implant (MIS Implant Technologies), which is very conservative for the bone and has a switching platform to better stabilise the tissues around it. The second surgery went well; after the procedure we took one more CBCT scan, to check if the implant had enough ‘bone’ around it. The scan showed the large amount of augmentation material around the implant (Figs. 6a & b). The healing process was completed after six months; however, I was not satisfied with the gingival contour and therefore I decided to perform a free gingival graft (FGG) to increase the gingiva volume. The FGG was harvested from the palatal area of teeth 26 and 27 (Figs. 7a–c). A tunnel was created in the area to be augmented and the gingival graft was very well stabilised with non-resorbable Coreflon sutures (Fig. 8b). I have used also an individualised healing cap to push the tissue more buccally for the perfect final shape of the gingiva (Fig. 8d). Prosthetic procedure After gingival maturation an impression was per- formed and the final crown was made. Complicated cases like this one need a very well planned prosthetic plan and a skilful dental technician. The gingival con- tour could be (re)modelated by a crown with an appropriate shape. The shape of the crown can help or destroy the surgery results so it is very important to have correct