Page 15 - DP Vol 21 No1_Neat

Fig 21: Digital implant data acquisition Fig 22: Triple scan technique to register and transfer peri-implant soft
tissue information

Fig 23a, b, c: Post surgical scan

Fig 24: The elements of the immediate implant with socket shield Fig 25: Final screw retained zirconia restoration

Step 5: Trimming the shield Step 7: Shield bevelling
Employ a gingival protection instrument and a long-shank round Bevel the shield internally to create space for soft tissue integration
diamond bur to trim the labial shield to the level of the crestal bone. between the shield and the provisional restoration.

Step 6: Shield refinement Step 8: Implant placement
Thin and smoothen the shield from within. Place the implant using the established immediate implant placement
Maintain a thickness of 1.2–1.5 mm (for upper laterals/lower incisors, protocols, ensuring a minimum insertion torque of 30 Ncm.
this may be as thin as 1 mm).
Avoid over-thinning, as excessive reduction can lead to fracture or The implant should be positioned 3–4 mm below the cemento-enamel
mobility, compromising the technique’s success. junction of the adjacent teeth to allow for an ideal emergence profile.

Dental Practice I March-April 2025 I Vol 21 No 2 15