Dentaltown July 2017 - 54
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8: Occlusal view of final crown.
Fig. 9: Retracted MIP.
in the guide, the longer twist drills used by
the Simplant system couldn't pass through
the guide because of the patient's small
mouth and limited opening. As a result, I
was unable to use the guide for anything
more than the initial punch osteotomy.
The guide was removed and, following the
Astra Tech EV protocol, the #1 twist drill
was used to prepare the initial osteotomy
to a few millimeters' depth. A periapical
radiograph (Fig. 4) was taken to check
positioning and angle.
After verification of the position and
angle of the osteotomy, the remaining twist
drills were used per Astra Tech EV protocol
to prepare the remainder of the osteotomy.
Type II bone was noted, so the A twist drill
followed by the V twist drill were employed
to complete the prepared site.
The implant was placed in the site
with a final torque value of 40Ncm; a
HealDesign EV 6.5mm healing cap was
placed on the implant, and the site was
sutured with 4-0 chromic gut sutures. A
final periapical radiograph (Fig. 5) was
taken, and then postoperative instructions
were given to the patient before dismissal.
Sutures were removed at the one-week
follow-up appointment, when excellent
soft-tissue healing was noted.
Fifteen weeks later, the patient returned
to the practice for restoration of the implant.
The healing cap was removed and an
impression was taken using an open-tray
impression coping and PVS impression
material (Fig. 6).
A gold titanium Atlantis custom abutment was selected for the restoration with a
screw-retained, high-translucency zirconia
crown that the lab had cemented to the
abutment using a dual-cure resin cement.
The crown was inserted into the implant,
occlusion and contacts were verified, and
the crown was torqued to its final value of
25Ncm. A final periapical radiograph was
taken (Fig. 7), and the screw access was sealed
with Teflon tape and opaque composite.
Show your work
in Dentaltown!
If you've got a case you think
might be a great study for Show Your
work, email Editor Sam Mittelsteadt:
sam@dentaltown.com. Be sure to
include a sentence that sums up
why the case is so special to you, to
help us review and select the best
contenders for publication.
54
JULY 2017 // dentaltown.com
Conclusion
Overall, this case offered me an enormous
learning opportunity. Despite the planning,
sometimes there will be cases where you're
forced to think on your feet. Being unable to
use the guide that I had spent so much energy
designing was one such unforeseen situation;
fortunately, I had over-the-shoulder assistance
of my principal dentist and my local Dentsply
Sirona rep to help me through it. Despite
the issues during the surgery appointment, I
was pleased with the final result of this case.
I am immensely grateful for the mentorship I am so fortunate enough to have in
my office. It has allowed me to push myself
to do things that I may have hesitated to do
otherwise. Although I'm still a novice dental
practitioner, I'm excited to keep learning. ■
http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown July 2017
Dentaltown July 2017 - Intro
Dentaltown July 2017 - Cover1
Dentaltown July 2017 - Cover2
Dentaltown July 2017 - 1
Dentaltown July 2017 - 2
Dentaltown July 2017 - 3
Dentaltown July 2017 - 4
Dentaltown July 2017 - 5
Dentaltown July 2017 - 6
Dentaltown July 2017 - 7
Dentaltown July 2017 - 8
Dentaltown July 2017 - 9
Dentaltown July 2017 - 10
Dentaltown July 2017 - 11
Dentaltown July 2017 - 12
Dentaltown July 2017 - 13
Dentaltown July 2017 - 14
Dentaltown July 2017 - 15
Dentaltown July 2017 - 16
Dentaltown July 2017 - 17
Dentaltown July 2017 - 18
Dentaltown July 2017 - 19
Dentaltown July 2017 - 20
Dentaltown July 2017 - 21
Dentaltown July 2017 - 22
Dentaltown July 2017 - 23
Dentaltown July 2017 - 24
Dentaltown July 2017 - 25
Dentaltown July 2017 - 26
Dentaltown July 2017 - 27
Dentaltown July 2017 - 28
Dentaltown July 2017 - 29
Dentaltown July 2017 - 30
Dentaltown July 2017 - 31
Dentaltown July 2017 - 32
Dentaltown July 2017 - 33
Dentaltown July 2017 - 34
Dentaltown July 2017 - 35
Dentaltown July 2017 - 36
Dentaltown July 2017 - 37
Dentaltown July 2017 - 38
Dentaltown July 2017 - 39
Dentaltown July 2017 - 40
Dentaltown July 2017 - 41
Dentaltown July 2017 - 42
Dentaltown July 2017 - 43
Dentaltown July 2017 - 44
Dentaltown July 2017 - 45
Dentaltown July 2017 - 46
Dentaltown July 2017 - 47
Dentaltown July 2017 - 48
Dentaltown July 2017 - 49
Dentaltown July 2017 - 50
Dentaltown July 2017 - 51
Dentaltown July 2017 - 52
Dentaltown July 2017 - 53
Dentaltown July 2017 - 54
Dentaltown July 2017 - 55
Dentaltown July 2017 - 56
Dentaltown July 2017 - 57
Dentaltown July 2017 - 58
Dentaltown July 2017 - 59
Dentaltown July 2017 - 60
Dentaltown July 2017 - 61
Dentaltown July 2017 - 62
Dentaltown July 2017 - 63
Dentaltown July 2017 - 64
Dentaltown July 2017 - 65
Dentaltown July 2017 - 66
Dentaltown July 2017 - 67
Dentaltown July 2017 - 68
Dentaltown July 2017 - 69
Dentaltown July 2017 - 70
Dentaltown July 2017 - 71
Dentaltown July 2017 - 72
Dentaltown July 2017 - 73
Dentaltown July 2017 - 74
Dentaltown July 2017 - 75
Dentaltown July 2017 - 76
Dentaltown July 2017 - 77
Dentaltown July 2017 - 78
Dentaltown July 2017 - 79
Dentaltown July 2017 - 80
Dentaltown July 2017 - 81
Dentaltown July 2017 - 82
Dentaltown July 2017 - 83
Dentaltown July 2017 - 84
Dentaltown July 2017 - 85
Dentaltown July 2017 - 86
Dentaltown July 2017 - 87
Dentaltown July 2017 - 88
Dentaltown July 2017 - 89
Dentaltown July 2017 - 90
Dentaltown July 2017 - 91
Dentaltown July 2017 - 92
Dentaltown July 2017 - 93
Dentaltown July 2017 - 94
Dentaltown July 2017 - 95
Dentaltown July 2017 - 96
Dentaltown July 2017 - 97
Dentaltown July 2017 - 98
Dentaltown July 2017 - 99
Dentaltown July 2017 - 100
Dentaltown July 2017 - 101
Dentaltown July 2017 - 102
Dentaltown July 2017 - 103
Dentaltown July 2017 - 104
Dentaltown July 2017 - 105
Dentaltown July 2017 - 106
Dentaltown July 2017 - 107
Dentaltown July 2017 - 108
Dentaltown July 2017 - 109
Dentaltown July 2017 - 110
Dentaltown July 2017 - 111
Dentaltown July 2017 - 112
Dentaltown July 2017 - Cover3
Dentaltown July 2017 - Cover4
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2021
https://www.nxtbook.com/farran/dentaltown/2021January
https://www.nxtbook.com/farran/dentaltown/2020December
https://www.nxtbook.com/farran/dentaltown/2020November
https://www.nxtbook.com/farran/dentaltown/2020NewGrad
https://www.nxtbook.com/farran/dentaltown/2020October
https://www.nxtbook.com/farran/dentaltown/2020September
https://www.nxtbook.com/farran/dentaltown/2020August
https://www.nxtbook.com/farran/dentaltown/2020July
https://www.nxtbook.com/farran/dentaltown/2020June
https://www.nxtbook.com/farran/dentaltown/2020May
https://www.nxtbook.com/farran/dentaltown/2020April
https://www.nxtbook.com/farran/dentaltown/2020March
https://www.nxtbook.com/farran/dentaltown/2020February
https://www.nxtbook.com/farran/dentaltown/2020January
https://www.nxtbook.com/farran/dentaltown/2019December
https://www.nxtbook.com/farran/dentaltown/2019November
https://www.nxtbook.com/farran/dentaltownuk/2019OctoberNovember
https://www.nxtbook.com/farran/dentaltown/2019October
https://www.nxtbook.com/farran/dentaltown/2019NewGrad
https://www.nxtbook.com/farran/dentaltown/2019September
https://www.nxtbook.com/farran/dentaltown/2019August
https://www.nxtbook.com/farran/dentaltown/2019July
https://www.nxtbook.com/farran/dentaltownuk/2019JuneJuly
https://www.nxtbook.com/farran/dentaltown/2019June
https://www.nxtbook.com/farran/dentaltown/2019May
https://www.nxtbook.com/farran/dentaltownuk/2019AprilMay
https://www.nxtbook.com/farran/dentaltown/2019April
https://www.nxtbook.com/farran/dentaltown/2019March
https://www.nxtbook.com/farran/dentaltown/2019February
https://www.nxtbook.com/farran/dentaltownuk/2019FebruaryMarch
https://www.nxtbook.com/farran/dentaltown/2019January
https://www.nxtbook.com/farran/dentaltownuk/2018Winter
https://www.nxtbook.com/farran/dentaltown/2018December
https://www.nxtbook.com/farran/dentaltown/2018November
https://www.nxtbook.com/farran/dentaltownuk/2018November
https://www.nxtbook.com/farran/dentaltown/2018October
https://www.nxtbook.com/farran/dentaltownuk/2018October
https://www.nxtbook.com/farran/dentaltown/2018NewGrad
https://www.nxtbook.com/farran/dentaltown/2018September
https://www.nxtbook.com/farran/dentaltownuk/2018September
https://www.nxtbook.com/farran/dentaltown/2018August
https://www.nxtbook.com/farran/dentaltownuk/2018July
https://www.nxtbook.com/farran/dentaltown/2018July
https://www.nxtbook.com/farran/dentaltownuk/2018June
https://www.nxtbook.com/farran/dentaltown/2018June
https://www.nxtbook.com/farran/dentaltownuk/2018May
https://www.nxtbook.com/farran/dentaltown/2018May
https://www.nxtbook.com/farran/dentaltownuk/2018April
https://www.nxtbook.com/farran/dentaltown/2018April
https://www.nxtbook.com/farran/dentaltown/2018March
https://www.nxtbook.com/farran/dentaltownuk/2018March
https://www.nxtbook.com/farran/dentaltown/2018February
https://www.nxtbook.com/farran/dentaltownuk/2018February
https://www.nxtbook.com/farran/dentaltown/2018January
https://www.nxtbook.com/farran/dentaltown/2017December
https://www.nxtbook.com/farran/dentaltownuk/2017Winter
https://www.nxtbook.com/farran/dentaltown/2017November
https://www.nxtbook.com/farran/dentaltown/2017October
https://www.nxtbook.com/farran/dentaltownuk/2017october
https://www.nxtbook.com/farran/dentaltown/NewGrad2017
https://www.nxtbook.com/farran/dentaltown/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017August
https://www.nxtbook.com/farran/dentaltown/2017August
https://www.nxtbook.com/farran/dentaltown/2017July
https://www.nxtbook.com/farran/dentaltownuk/2017July
https://www.nxtbook.com/farran/dentaltown/2017June
https://www.nxtbook.com/farran/dentaltownuk/2017may
https://www.nxtbook.com/farran/dentaltown/2017May
https://www.nxtbook.com/farran/dentaltownuk/2017April
https://www.nxtbook.com/farran/dentaltown/2017April
https://www.nxtbook.com/farran/dentaltown/2017March
https://www.nxtbook.com/farran/dentaltownuk/dentaltownuk/2017march
https://www.nxtbook.com/farran/dentaltown/February2017
https://www.nxtbook.com/farran/dentaltown/2017January
https://www.nxtbook.com/farran/dentaltown/2016December
https://www.nxtbook.com/farran/dentaltown/2016November
https://www.nxtbook.com/farran/dentaltown/2016October
https://www.nxtbook.com/farran/dentaltown/2016nge
https://www.nxtbook.com/farran/dentaltown/2016september
https://www.nxtbook.com/farran/dentaltown/2016august
https://www.nxtbook.com/farran/dentaltown/2016july
https://www.nxtbook.com/farran/dentaltown/2016june
https://www.nxtbook.com/farran/dentaltown/2016may
https://www.nxtbook.com/farran/dentaltown/2016april
https://www.nxtbook.com/farran/dentaltown/2016march
https://www.nxtbook.com/farran/dentaltown/2016february
https://www.nxtbook.com/farran/dentaltown/2016january
https://www.nxtbook.com/farran/dentaltown/2015december
https://www.nxtbook.com/farran/dentaltown/2015november
https://www.nxtbook.com/farran/dentaltown/2015october
https://www.nxtbook.com/farran/dentaltown/2015nge
https://www.nxtbook.com/farran/dentaltown/2015september
https://www.nxtbook.com/farran/dentaltown/2015august
https://www.nxtbook.com/farran/dentaltown/2015july
https://www.nxtbook.com/farran/dentaltown/2015june
https://www.nxtbook.com/farran/dentaltown/2015may
https://www.nxtbook.com/farran/dentaltown/2015april
https://www.nxtbook.com/farran/dentaltown/2015march
https://www.nxtbook.com/farran/dentaltown/2015february
https://www.nxtbook.com/farran/dentaltown/2015january
https://www.nxtbook.com/farran/dentaltown/2014december
https://www.nxtbook.com/farran/dentaltown/2014decemberb
https://www.nxtbook.com/farran/dentaltown/2014november
https://www.nxtbook.com/farran/dentaltown/2014october
https://www.nxtbook.com/farran/dentaltown/2014newgrad
https://www.nxtbook.com/farran/dentaltown/2014september
https://www.nxtbook.com/farran/dentaltown/2014august
https://www.nxtbook.com/farran/dentaltown/2014july
https://www.nxtbook.com/farran/dentaltown/2014june
https://www.nxtbook.com/farran/dentaltown/2014may
https://www.nxtbook.com/farran/dentaltown/2014april
https://www.nxtbook.com/farran/dentaltown/2014march
https://www.nxtbook.com/farran/dentaltown/2014february
https://www.nxtbook.com/farran/dentaltown/2014january
https://www.nxtbook.com/farran/dentaltown/2013december
https://www.nxtbook.com/farran/dentaltown/2013november
https://www.nxtbook.com/farran/dentaltown/2013october
https://www.nxtbook.com/farran/dentaltown/2013newgrad
https://www.nxtbook.com/farran/dentaltown/2013september
https://www.nxtbook.com/farran/dentaltown/2013august
https://www.nxtbook.com/farran/dentaltown/2013july
https://www.nxtbook.com/farran/dentaltown/2013june
https://www.nxtbook.com/farran/dentaltown/2013may
https://www.nxtbook.com/farran/dentaltown/2013april
https://www.nxtbook.com/farran/dentaltown/2013march
https://www.nxtbook.com/farran/dentaltown/2013february
https://www.nxtbook.com/farran/dentaltown/2013january
https://www.nxtbook.com/farran/dentaltown/2012december
https://www.nxtbook.com/farran/dentaltown/2012November
https://www.nxtbookmedia.com