CONELOG Special Issue

Fig. 9: The position of the implant in the dental arch can be checked with the aid of the template. Fig. 13: The temporary bridge is cemented with the healing cap without contact to the pontic. Fig. 18: Good perfusion of the periimplant soft-tissue well can be observed. Buccal tissue thickness exceeds three millimeters. Fig. 14: The subcrestal bone position and good cervical join of the temporary bridge are shown on the postopera- tive X-ray. Fig. 10: A retromolar bone cylinder is harvested with a trephine drill to obtain autologous bone for augmen- tation of the buccal lamella. Fig. 12: To obtain optimal buccal contours, a palatally har- vested connective tissue graft is drawn under the soft tissue and sutured. Fig. 15: Good healing and successful integration of the con- nective tissue graft are evident one week after im- mediate implantation. The white-yellow deposits consist of fibrin. Fig. 16: Following a three-month healing time, the implant has been successfully osseointegrated and the soft tissue has stabilized for final impression-taking. Fig. 17: The periimplant soft tissue is well formed and largely irritation-free under the temporary bridge. Fig. 19: Impression-taking of the prepared teeth and the implant. Fig. 11: The space between implant and buccal soft tissue is filled with a mixture of autologous bone and bovine bone replacement material. Impression taking Temporary restoration Fig. 20: Following re-insertion of the temporary bridge, ex- cess soft tissue is revealed in the area of the implant (position 11).