logo 49 | The Camlog Partner Magazine 28 | Case study 19. The temporary restoration was cemented onto a Ti-base (CONELOG titanium base CAD/CAM crown) using a composite cement (Speedcem Plus, Ivoclar Vivadent). Both the subgingival design and the platform switch of the CONELOG conical connection will support tissue healing. 20. This temporary, customized "healing abutment", which was placed immediately after implantation precisely covered the extraction wound. A control X-ray confirmed the correct position of the implant, the positional stability of the shield and the correct distance from the tooth shield to the implant. 21. After a ten-week healing phase, the peri-implant mucosa impresses through voluminous and healthy soft tissue. The applied socket shield technique can support the esthetic outcome by reducing resorption processes in the width and height of the buccal lamella, thus preserving the peri-implant marginal bone level. 22. The final restoration, based on the data from the temporary crown, was inserted after a functional and esthetic try-in. The zirconia crown was cemented extraorally with (Multilink Hybrid / Ivoclar Vivadent) on a titanium base CAD/CAM. The hybrid crown was screw-retained with 20 Ncm and the screw access channel was sealed with plastic. 23. Immediately after insertion of the definitive hybrid abutment crown, the slightly chipped adjacent crowns were built up with composite. The control X-ray shows the preserved bundle bone in the crestal facial region. 24. At the follow-up six months after insertion of the definitive restoration, the crown is perfectly integrated. The coronal gingival margin is garland-shaped and a broad band of naturally stippled attached gingiva is visible.
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