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computer technology, the ideal emergence profile of the
restoration can then be designed (Fig. 5), and a patientspecific
final restoration created (Figs. 6a–6d).
Figure 6c: Final radiograph shows proximal sculpting of the soft tissues by the
restoration, starting at the abutment-fixture junction.
Figure 5: CAD file showing fabrication of a screw-retained BruxZir ® crown.
This one-piece restoration is designed to the ideal contours and contacts in a
virtual environment.
Figure 6d: Ideal gingival contours one month after insertion of the restoration.
Figure 6a: The lab returns the finished abutment and crown.
Figure 6b: Close inspection of the final restoration shows no cement line, with
smooth contours to maintain the shape of the gingival tissues.
■ Patient-Specific Tissue Contouring:
Working with the Inclusive Tooth
Replacement Solution
Making optimal treatment possible, the Inclusive ® Tooth
Replacement Solution from Glidewell Laboratories gives
the surgeon the ability to place an implant ideally and
begin sculpting the soft tissue on the day of implant
placement. A prosthetic guide fabricated from highly
accurate diagnostic casts is delivered to the surgeon,
enabling ideal implant placement from a prosthetic
perspective that is unique to the patient. Radiography is
then utilized to determine the appropriate implant size.
This would be for conventional placement. There is also a
CT-based option that includes a digital implant plan and
surgical guide.
– The Critical Nature of Tissue Contouring from a Periodontist’s Perspective – 53