Tissue Management of Peri-implant Tissue
1-3. The patient shows peridontal involved upper central incisors in need of extraction and replacement with fixtures and esthetic crowns.
4. CBCT view of the upper central incisors before the treatment.
5-9. Surgical steps during extraction of central incisors and their immediate replacement with two fixtures.
10-14. Temporary abutments were screwed into the fixtures and temporary crowns were relined and screwed in.
15-16. After 7 months the muco-gengival tissue appeared in good health. The two temporaries crowns made a proper architecture of peri-implants soft tissue; the tissues show complete healing process.
17-18. The pick up for open impression tray technique are screwed in; in two minutes the tissue start to partially collapse making difficolt to take proper impression.
19-25. The two pick ups are customized replicating the emergence profile of temporaries.
26-27. The two customized pick up in place.
28-31. Two zirconia abutments and crowns were fabricated on the lab.
32-35. The two abutments and crowns in place and the smile of the patient after 3 years of clinical service.
Work by Prof. Dr. Fernando Zarone