PAGD Keystone Explorer Summer 2020

Keystone Explorer |  Summer 2020  13 dentistry issues Q on tooth #9 following bone sounding such as to not invade biologic width. An appropriately shaped temporary on the implant will encourage the tissue to migrate in a given direction and also to facilitate papilla formation (a lesson learned from Dr. Dennis Tarnow’s presentation at PEAK 2017). Modern dentistry allows for the final planning of the restorations in a virtual format. Using an intraoral scanner and software the final restoration were impressed, and then designed digitally. Figure 6 The patients wear pattern was taken into account. The final restorations were made of zirconia and the implant abutment and crown were screw retained. The case was completed and inserted just under four months from the initial date of tooth extraction and implant placement. Final photographs were taken four months after delivery. Figure 7 Conclusion Many factors were included in this case. Wear, esthetics, tissue, bone, healing time, and patient desires were all taken into consideration. A relatively conservative approach was taken and a good esthetic outcome was achieved and never left the patient toothless. Careful consideration must always be taken as to stay within one’s comfort zone when dealing with esthetically demanding issues. The PAGD and the AGD have been remarkable ambassadors for education and facilitated learning so that doctors may continue to raise the bar in our profession. Figure 6 Figure 5 Figure 7