Page 22 - Dental Practice South Asia 18-6

multidisciplinary section

FIG 31: Suture FIG 32: Digital planning of the second provisional screwed to the implant

FIG 33: Milled tooth in PMMA FIG 34: Provisional in position FIG 35: Healing at 3 months

ware makes available, through which it is after unscrewing the provisional from the “Gingival Mask”, I shared the necessary mor-
possible to copy the morphology of the implant, I copied the position of the papillae phological information with the software to
mock-up and the temporary crown screwed and the gingival parabola with the intra-oral realize the definitive prosthetics (Figures 36
to the implant. With this approach we are scanner. In this way, by creating the so-called to 38).
going to share with the design software the
anatomies previously tested for the realiza- 2) Preparation of the front teeth
tion of the definitive prosthetic ceramics. In the therapeutic plan I had planned to cre-
1) Creation of the “Gingival Mask” and “Bio ate 5 veneers, from 1.3 to 2.3 excluding tooth
Copy” of the front teeth 2.1, for which I had planned an implant sup-
Three months later, after osseointegration of ported crown (Figure 39).
the implant, the conditioning of the tissues
appeared optimal in terms of quality of 3) Final impression of the prepared teeth
reconstructed volume. In Figure 36 it is pos- With the upper arch prepared and the
sible to see how the gingival profiles were Scanpost and Tbase in place on the implant,
perfectly harmonious and natural looking it was marked with the intra-oral scanner
thanks to the provisional. At this point I per- FIG 36: Appearance of soft tissues after removal of copying every single anatomical detail not
formed the "Biocopy" of the front teeth and, the temporary only of the prepared teeth but even teeth not

FIG 37: Soft tissue impression “Gingival Mask” FIG 38: “Biogeneric Copy” of the Mock-up and the Screwed Provisional

22 Dental Practice // November-December 2022 // Vol 18 No 6
Continued on page 24 >>