Dental Asia July/August 2022

CLINICAL FEATURE
Fig. 25 Fig. 26
A monolithic ceramic (Zirconiam Prettau)
crown with a facial cutback and layering
technique was milled and cemented
extraorally to RB/WB Variobase with
1,5mm gingival height corresponding to
the remodelling of the bone architecture
as it heals (Fig. 30). The restoration was
seated and screwed to a torque of 25Ncm
after occlusion, contact points and
excursive movements have been checked
(Figs. 31-33).
Fig. 27 Fig. 28
Fig. 30
TREATMENT OUTCOME
The patient works as a dental nurse
herself in a dental practice and has
direct interaction with many patients
during her working shifts. For her, it was
extremely gratifying that she was able
to leave the dental chair knowing the
compromised tooth had been extracted
and the implant placed and restored
immediately. The final crown matched
the texture and shade of the adjacent
teeth bringing harmony to the smile.
The patient refers the final crown as “the
cherry on the cake”. DA
ABOUT THE AUTHORS
Fig. 29
Fig. 32
Fig. 25: Temporary provisional tooth shell in
position for pick up
Fig. 26: Temporary provisional tooth shell after
pick up and emergence profile
Fig. 27: Temporary crown seated and polished
Fig. 28: Temporary crown one-week post
operative
Fig. 29: Periapical radiograph one-week post
operative
Fig. 30: Monolithic ceramic crown cemented to
RB/WB Variobase abutment
Fig. 31: Final result smile
Fig. 32: Final result close up
Fig. 33: Final result radiograph
Fig. 31
Fig. 33
Dr Eirik Aasland
Salvesen
graduated as a
Doctor in Dental
Surgery from
the University
of Bergen and
specialised in Periodontology. He is
the co-founder of Oris Dental, a dental
service organisation in Stavanger,
Norway, and the executive director of
Oris Academy. He is a long time ITI
fellow and a proponent of immediate
treatment protocols.
Dr Ida Koll-Frafjord is
a general practitioner
at Oris Dental.
DENTAL ASIA JULY / AUGUST 2022 29