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logo 39 • the CAMLOG Partner Magazine • November 2016 15 CASE STUDY system, the patient wore a protective splint at night. The test phase was accompanied by regular check-ups and hygiene sessions. The new bite position and height were accepted quickly by the patient. During the 13-month temporary phase there was no fracture or loosening of the temporary restorations, signs of abrasion were only marginal. Prosthetic phase II The gradual application of composite and the corresponding pressure on the soft tissue led to a stabilization of the gingiva around the temporary implant crown. Despite delayed wound healing and the heavy consumption of nicotine, a complete closure of the interdental spaces by the papillae was to be expected due to the shift in contact points to cervical palatal [5]. The therapeutic goal of the second prosthetic phase was the final restoration of the implant in regio 11 as well as the other teeth in the maxilla and mandible. Due to the numerous fillings and caries of the tooth necks, we decided on complete crowning of the posterior teeth after consultation with the patient. The anterior maxilla was to be restored with partial crowns, the anterior teeth in the mandible were to be built up with composite. The main task of the subsequent sessions was the best possible transfer of the new jaw position into final restorations. To achieve this, the individual teeth on one side were first prepared and restored with chairside-fabricated temporary restorations, and then the other side. Fig. 18: Screw-retained temporary crown with reduction of the interdental space 11/12 and shift of contact point to cervical-palatal. Fig. 16: An X-ray check was performed three months after implantation of the CAMLOG ® SCREW-LINE Promote ® Implant. Fig. 17: Situation two weeks after exposure. Poor wound healing and partial loss of the connective tissue graft due to nicotine consumption. Fig. 24: Situation after insertion of the reposition onlays in the mandible. Fig. 21: ...and adhesive extension of the anterior teeth in the maxilla with significant improvement of the length/width ratio. Fig. 23: Lab-fabricated reposition onlays in the mandibular posterior region and wax-up on the plaster model. Fig. 22: Top view of the reposition onlays in the maxilla.

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