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Perfect Harmony in White - DENTSPLY Friadent

Perfect Harmony in White - DENTSPLY Friadent

light_26 Balance and

light_26 Balance and standard abutments have different gingival designs. Initially, a standard abutment is placed for temporary restoration. If a CERCON ® abutment were placed instead, the gingiva would resorb due to over-compression. For this reason, the CERCON ® abutment is customized analogous to the shape of the ANKYLOS ® standard abutment at the transgingival region and the natural emergence profile can be preserved.** The study cast is produced on which the final CERCON ® Balance abut- ment is selected either by the technician or by the dental professional. At this point, customizing the abutment might become necessary: Too much volume at the cervical area of the abutment to create the correct contour may push the gingival margin a little too much, increasing the gingival height more than actually desired. The graph illustrates the influence of the volume maintained around the cervical subgingival part of the abutment on the gingival margin. Even after a careful selection of the CERCON ® abutment component, when it is placed in the patient’s mouth it very often requires some grinding. Diamond-coated drills with irrigation have to be used for trimming.** The subgingival area has to be specially taken into consideration. The alteration in the subgingival contour of the abutment achieved by grin- ding it carefully, positions the gingival margin more coronally to achieve optimal symmetry and esthetics (fig. 5). The gingival margin is thus brought to the desired height and the compression is diminished. The soft tissue is shaped over three or four weeks to create the appropriate space for the CERCON ® Balance abutment (figs. 6, 7). _1 _2 _3 _4

_5 _6 _7 _8 _9 Conclusion It is clear that the CERCON ® Balance abutment is a powerful tool to restore the anterior dentition, with a unique performance that even allows a more superficial positioning of the implant, when the surgical procedure is performed. But because the marginal final position of the gingiva is so critical in these cases, dealing with these abutments requi- res some extra work. This is completely compensated by the excellent esthetic characteristics of these components, as can be easily observed in the clinical situation illustrated (figs. 8, 9). Special thanks to Dr. Leilha Nunes for graphical assistance Notes of the editors (FRIADENT GmbH): * The technique deviates from the standard protocol recommended by FRIADENT GmbH in the instructions for use. ** The CERCON ® Balance large abutment and the CERCON ® Balance individual abutment must not be reduced more than the size of the CERCON ® Balance small abutment. light_27

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