Page 45 - DP Vol 20 No 5_Neat

Fig 2a: Surgical site prepared for implant placement. Fig 2b: DS Prime Taper implant being inserted into the osteotomy.

Fig 2c: Implant successfully Fig 2d: Healing screw Fig 3a: ISQ measurement taken during follow-up showing improved
placed with good primary positioned over the implant. stability.
stability.

Fig 3b: Digital impressions using the Primescan oral scanner. Fig 3c: Digital scan with the scan body in place

screw-retained abutment crown was fabricated on a Ti-base using DISCUSSION
an e.max block of the desired shade. The crown fabrication was Contemporary dentistry integrates creativity with therapy, aiming to
performed in two parts to enhance esthetics, as the access hole was rehabilitate a patient's form, function, and esthetics to closely mimic
located on the labial side (Figures 3a, b, c; 4a, b). natural teeth. Several techniques, including fixed and removable
The crown was extraorally cemented with dual-cure resin cement prostheses, are available for tooth restoration. Implant stability—
(Ivoclar Multilink) and then screwed over the implant. A secondary defined as the absence of movement in the alveolar bone—plays a
e.max crown was fixed over it. Occlusion and proximal contacts critical role in successful osseointegration. Stability is categorized
were verified during the try-in stage (Figures 5a, b). into primary and secondary stages [7].
The patient expressed satisfaction with the final screw-retained Dental implant design is a significant determinant of primary
tapered implant restoration and the veneer delivered on the left stability, as it influences the implant's ability to handle biomechanical
central incisor (Figures 6a, b). forces. Tapered implants redirect forces toward their apex, making
At the one-year follow-up, the implant exhibited good stability them preferred for immediate placement. In contrast, cylindrical
and maintained esthetic outcomes. A radiograph confirmed the implants distribute forces along their entire length, risking
favorable prognosis of the implant and prosthesis (Figures 7a, b). osteotomy wall damage due to thread engagement.

Access this article online at https://www.dental-practice.biz/emagazine/dp20-5/#p=44

Dental Practice I November-December 2024 I Vol 20 No 5 45