PROGRESSIVE-LINE Flyer

Dr. Christian Hammächer (from CAMLOG Special Edition 01 | 2019) The correct vertical positioning was achieved by the placing of the implant shoulder around three to four millimetres below the cementoenamel junction. The implant healed held open using a gingival shaper. As there was sufficient horizontal and vertical bone, the implant was able to be positioned in a three-dimensional manner in the extraction alveolus. Following the incision and reflection of a mucoperiosteal flap, a pronounced hard tissue defect was identified in the buccal wall. The peri-implantar soft tissue is anatomically shaped five months after the insertion. A week after the integration of a zircon abutment adhered to the CAD/CAM titanium base and the full ceramic crown cemented on this, there was a harmonious red-white ratio. To counteract the change in volume during the reconstruc- tion process, the augmented area, which ultimately also determines the position of the soft tissue, is generally overcontoured. A mixture of autologous bone and bovine bone substitute material was used to reconstruct the alveolar bone and the incongruity defect. The defect was covered using a barrier membrane. The smooth/rough transition came to lie flush with the bone when inserting the CAMLOG ® PROGRESSIVE-LINE implant. For healing, the implant was closed and healed covered for eight weeks. The preparation of the areas to be drilled was carried out in line with the standard protocol. Since the bone was hard and augmented, a tap was used to avoid excessive pressure on the peri-implantar bones during insertion. Following the successful augmentation of the hard tissue with a bone block and membrane cover, the osteosynthesis screws were removed and a CAMLOG ® PROGRESSIVE-LINE implant inserted. The implant was exposed and the soft tissue shaped. Orthodontic treatment was carried out before the implant. The natural teeth were prepared in a minimally invasive manner in terms of the overall functional treatment. Closed shaping was then carried out. The view shows the adhered table tops and the directly screwed implant crown before closure of the canal. This can be harmoniously inserted into the dental arch thanks to the perfect implant position. This achieved optimal function and aesthetics that will be stable for a long time. Dr. Martin Gollner (from DGOI Journal of Oral Implantology 2 I 2019) The x-ray taken after the integration of the hybrid crown shows the bone deposition. The bone structure is deposited in a stable manner right up to the smooth/rough transition in the region of the anchoring thread in particular.