Dental Asia July/August 2021

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Clinical Feature placement (Figs. 31-32). Then, the zirconia abutment was issued (Fig. 33) followed by the delivery of the crowns on the affected teeth (Fig. 34). Follow ups were done after three, four, and seven years; and post-operative intraoral photos and periapical radiographs were taken (Figs. 35-40). Conclusion Immediate implant treatment with healing abutment placed reduces the need to have another incision done during the uncovering stage. CASE 3 A 45-year-old male patient had an immediate implant placement done nine years ago on tooth 11 (Figs. 41-45) and has returned to seek treatment for an ill-fitting bridge on teeth 21 to 23 (Fig. 46). Intraoral and diagnostic examination revealed that tooth 21 had a fracture from palatalcervical to facial-crestal bone area, and was unrestorable (Figs. 47-48). The patient wanted to have a fixed provisional treatment Fig. 36 Fig. 37 Fig. 38 Fig. 39 Fig. 40 Fig. 41 Fig. 42 Fig. 43 Fig. 44 Fig. 45 Fig. 46 Fig. 47 Fig. 48 Fig. 49 Fig. 50 Figs. 36-37: Post-operative radiograph after three years Fig. 38: Post-operative photo after four years Fig. 39: Post-operative radiograph after four years Fig. 40: Post-operative radiograph after seven years CASE 3: Fig. 41: Tooth 11 was extracted and immediate implant placement done nine years ago Fig. 42: Periapical radiograph on the area of tooth 11 after implant placement Fig. 43: Temporisation done on day of implant placement Fig. 44: Periapical radiograph taken one year after final prosthesis was issued Fig. 45: One year after immediate implant placed with definitive prosthesis in place Fig. 46: After nine years, tooth #21 fractured due to an accident Fig. 47: Radiograph of tooth 21 showing fracture of post crown Fig. 48: Crown fractured from palatal-cervical to facial-crestal bone areaa Fig. 49: Measurement of crestal bone height after tooth 21 was extracted Fig. 50: Measurement of socket width 38 DENTAL ASIA JULY / AUGUST 2021
Clinical Feature Fig. 51 Fig. 52 Fig. 53 Fig. 54 Fig. 55 Fig. 56 Fig. 57 Fig. 58 Fig. 59 Fig. 60 Fig. 51: After implant placement, bone graft was done and temporary abutments placed Fig. 52: Temporary crowns issued Fig. 53: After four months Figs. 55-56: Abutments were placed with positional jig Fig. 57: Crowns issued Fig. 58: Radiograph after prostheses placed Fig. 59: One-year follow up Fig. 60: Implant at space of tooth 11, 10 years after implant placement and requested for two implants to address his missing tooth 22 as well. Treatment procedure Tooth 21 was extracted followed by immediate implant placement (Figs. 49-50). The gap was filled with FDBA and Xenograft. Gingihue was used as a temporary abutment and a temporary crown was constructed for this implant. Tissue punch method was done for the implant placement of tooth 22 to preserve bone without flap elevation. To create interdental papilla with good emergence profile, temporary abutment and crown were issued (Figs. 51-52). Patient came back after four months (Fig. 53) and the abutments were placed with a positional jig (Figs. 54-56). The crowns were Conclusion issued and post-operative radiograph was Immediate implant placement could preserve taken (Figs. 57-58). alveolar bone and gingiva height with gap between implant and facial bone filled with Follow up was done after a year — postoperative photo and radiograph were taken distance between implants is crucial for bone graft material. Keeping the required (Figs. 59-60). interdental area aesthetics. DA About the author Dr Kuoching Chen received his DDS from the Taipei Medical University, Taiwan, in 1987 and studied implantology at the Boston University Implant Center, Unites States, from 2000 until 2002. Currently, he is an adjunct associate clinic professor of Taipei Medical University and maintains his private practice in Taipei. He was also the president and board of diplomat committee, Academy of Dental Implantology Taiwan, R.O.C (ADI) in 2013, and at present, a consultant for ADI. DENTAL ASIA JULY / AUGUST 2021 39
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Page 4: Contents 16 20 28 TRENDS 14 Support
Page 8 and 9: Dental Updates COVID-19 infection r
Page 10 and 11: Dental Updates AG.Live: The 360-deg
Page 12 and 13: Dental Updates Dentsply Sirona excl
Page 14 and 15: Dental Updates FDI World Dental Fed
Page 16 and 17: Trends Dentsply Sirona Academic Edi
Page 18 and 19: Trends Mr Sameer Merchant, chief ex
Page 20 and 21: Trends The workstation at Illustrat
Page 22 and 23: Under the Spotlight Embracing moder
Page 24 and 25: Under the Spotlight the dental clin
Page 26 and 27: Under the Spotlight Behind every su
Page 28 and 29: Under the Spotlight aesthetics. Loc
Page 30 and 31: Dental Profile Mr Heikki Kyöstilä
Page 32 and 33: Dental Profile GROWING INTO A GROUP
Page 34 and 35: Clinical Feature Achieving predicta
Page 36 and 37: Clinical Feature Anterior implant a
Page 38 and 39: Clinical Feature Osteotomy procedur
Page 42 and 43: User Report Effectively remove stai
Page 44 and 45: User Report Fig. 1 Fig. 3 Fig. 5 ir
Page 46 and 47: User Report * Enhancing quality ass
Page 48 and 49: User Report The answers to these po
Page 50 and 51: Behind the Scenes Polishing of dent
Page 52 and 53: Behind the Scenes Fig. 5 Fig. 6 Fig
Page 54 and 55: Behind the Scenes owner of Da Vinci
Page 56 and 57: Behind the Scenes Use of a 3D print
Page 58 and 59: In Depth With Invisalign ® G8 with
Page 60 and 61: In Depth With Compressed air: More
Page 62 and 63: Product Highlights Coltene The fift
Page 64 and 65: Product Highlights Renfert SYMPRO:
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Page 68 and 69: Giving Back to Society Henry Schein
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