logo 17 • CAMLOG Partner Magazine • March 2018 27 Fig. 17: The clinical situation of the three iSy® Implants three months after implantation with autologous bone augmentation and submerged healing. Fig. 23: The multifunctional caps from the basal direction in the impression. Fig. 26: The CAD design of the individual abutments on the iSy® Implant bases. Fig. 18: The osteosynthesis screws were removed during exposure. Fig. 24: Soft tissue in regio 44 after removing the implant base. iSy Esthomic healing caps were used to shape the emergence profile. Fig. 27: The position of the shoulders of the individual zirconium abutments was checked during try-in. Fig. 25: The emergence profile created with the aid of the iSy® Esthomic healing caps. Fig. 22: Multifunctional caps mounted on the implant base for closed impression taking. Fig. 16: The orthopantomogram of the second patient case shows the situation directly after implantation and augmentation. abutment, the laboratory did not have to order any additional implant parts. After taking the impression, the implant bases were removed again and enclosed with the impression for the laboratory. Now the iSy Esthomic healing caps were used. They are available in three sizes (S, M, and L) depending on the prosthetic tooth shape desired. The major advantage here is that the implant bases can be used in the laboratory for the final restoration, while the emergence profile can be optimally shaped intraorally using the iSy Esthomic healing caps (Figs. 24 and 25). In the dental laboratory, individual CAD/ CAM-fabricated zirconium oxide abutments were designed on the iSy implant bases (Fig. 26). When using individual abutments, it is recommended to use an abutment try-in to clinically check the exact position of the preparation margin (Fig. 27). Elastic rubber gingival masks on the model cannot adequately imitate gingival resilience, so this clinical examination and a possible correction of the preparation margins is useful. A maximum 1 mm subgingival position of the preparation margins should be maintained here in order to be able to safely remove cement residues when inserting the dental prosthesis [5]. The dental prosthesis was then completed in the laboratory. An all-ceramic construction CASE STUDY
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