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CAD/CAM – international magazine of digital dentistry No. 4, 2017

digital workflow case report | Fig. 8 Fig. 9 Final result The patient was in slight discomfort following the surgery, but stated that this surgery was less painful than the previous extraction. She was pleased to have the modified provisional versus a dark space in her smile. Conclusion Since the Straumann PURE Ceramic Implant en- dosteal portion is based on the Straumann Bone Level design, it does not require additional surgical instru- ments or drilling protocols for placement while the specialised transfer piece comes with the implant. When placing the driver onto the Straumann PURE Ceramic Implant abutment care must be taken to align the indicator dots up with the facets, otherwise incomplete seating of the driver may occur (Fig. 11). As implant therapy has evolved, patient expectations have risen. The desire to have a natural looking, metal-free restoration is increasing as can be seen by the decrease of metal substructures for crowns and frameworks and the increase in ceramic restorations. While titanium can cause a greying of the tissues, the ivory colouring of the Straumann PURE Ceramic Fig. 10 Fig. 11 Implant can provide a more aesthetic outcome. An- other patient was ecstatic to have the option for a Straumann PURE Ceramic Implant since her husband has a titanium implant in the anterior region and she can see the grey. All ceramic implants have the poten- tial to provide greater aesthetic outcomes but do re- quire more precise planning and placement. Initially, one might consider the Straumann PURE Ceramic Im- plant to be limited by design, to a degree it is, however the DWOS Synergy workflow can help to reduce the challenge of placing a monotype implant._ about Dr Richard Zimmermann and Dr Stefanie Seitz UT Health San Antonio School of Dentistry CAD/CAM 4 2017 19

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