logo 49 | The Camlog Partner Magazine 16 | Case study 19. In addition to the basic type of prosthetic restoration, removable or fixed, the type and method of veneering were also discussed. Due to the higher susceptibility to repair of ceramic veneers and the higher costs, the patient opted for resin veneers. A silicone matrix had been fabricated based on the wax-up. Based on this, the spatial conditions for the veneer are checked. 20. Both the acrylic shells as well as the metal framework are blasted with zirconia and silanized by applying a silane primer to achieve a better bond between the two materials. Then, an opaquer is applied to prevent the metal framework from shining through. Retentive elements can be dispensed with due to the possibility of surface activation [3]. 21. After a renewed functional and esthetic check, the bridge was completed. The screw channels were sealed with Teflon tape and filling composite. The two distal channels were sealed with tooth-colored composite and the four channels in the anterior, non-visible area were sealed with a translucent material, which makes it easier to locate the screws in future check-up appointments. 22. The biological and physiological load of the entire reconstruction is achieved with this concept. The necessary domestic oral hygiene is indispensable for long-term success. This is now mainly the patient's own responsibility. The patient is trained in the use of aids such as dental floss or interdental brushes. In addition, the restoration features a basal convex design and cleaning channels in the area of the implants. 23. Six months after the surgical procedure, a stable hard and soft tissue situation is evident. As the temporary restoration matched the original tooth position, the patient, his wife and we too, decided to correct the tooth position and shape during the treatment period to achieve a more esthetic overall result. 24. At the time of insertion, a stable bone bed around the implants is evident to provide long-term preservation of the prosthetic restoration. During the course of treatment, tooth 36, which was already conspicuous at the initial presentation, had to be extracted.
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