CAMLOG Special Issue VARIO SR Abutment

Case Report 11 | 2011 Final situation Fig. 25: Occlusal view after the occlusal access wells were filled with a cotton pellet and an addition of composite. Note the irregular non-homogene- ous appearance, which was accentuated by the flash picture. As clinicians, we find this appear- ance non-cosmetic, but it has not bothered the patient in the least. Fig. 24: Occlusal view of the bridge during the trial. The abut- ment screws were then tightened to 20 Ncm, and the prosthetic screws were tightened to 15 Ncm. Fig. 27: Palatine view three months after insertion of the prosthesis. Fig. 23: Another x-ray after adjustments: note the absence of a gap. Fig. 26: Buccal view three months after insertion of the pros- thesis. COMMENTS The one-stage surgical procedure accounts for more than 90% of our activity and enables us to take advantage of a longer period of mucosal healing at the same time as bone healing in cases where burying the implant during the osseointegration phase can be avoided and there is good primary stability, which is easily obtained with the SCREW-LINE implant shape. The significant amount of attached gingiva and bone volume in this case allowed us to perform surgery with minimal detachment of soft tissues. With raising of the flaps, we do not have to work blindly in the bone crest, and we can manage the inter-implant gingiva volume optimally. It is important to adjust the temporary removable denture properly during the osseointegration phase and to warn the patient, because any contact between the temporary prosthesis and the healing screw can result in loss of the underlying implant. The impression with the pop-in system shows precision that is similar to a pickup impression insofar as the implants are not divergent. We use these transfers in over 99% of cases. Fig. 22: X-ray check of the bridge during the try-in: note the slight gaps in the mesial implants. They were due to a contact point with 13 that was too tight.