Soft tissue management around implant with SCTG and slim healing abutment
A 27-year-old female patient, in good general systemic health, presented to the dental practice with:
- Missing dental element in the position 35# FDI. The tooth was extracted 5 years before due to an orthodontic treatment
- Vestibular deficit in correspondence to the missing element
A NobelReplace® CC NP implant was placed to substitute the missing tooth with an implant fixed prosthesis. The vestibular volume deficit was instead compensated by augmenting the soft tissues with a Sub-epithelial Connective Tissue Graft (SCTG), harvested from the maxillary tuberosity, punched into a slim healing abutment. The slim healing abutment was substituted with a normal size healing abutment once the soft tissue healing was completed. The definitive prosthetics made of a universal abutment in Titanium and an Emax crown was delivered 12 weeks post augmentation procedure.
At 3 years follow up, marginal bone stability, good hygiene and soft tissue stability were observed.
Evaluation & Diagnosis
Treatment Planning
Progress & Completion
Follow-Up & Outcome
Questions
What was the step between the removal of the second healing abutment and the impression ?

In reply to What was the step between the removal of the second healing abutment and the impression ? by Vlad Kiraly
In reply to What was the step between the removal of the second healing abutment and the impression ? by Vlad Kiraly
Due to the loss of buccal bony volume, was the implant placed more lingual than ideal? Was guided surgery utilized?
In reply to Due to the loss of buccal bony volume, was the implant placed more lingual than ideal? Was guided surgery utilized? by Faisal Quereshy

In reply to Due to the loss of buccal bony volume, was the implant placed more lingual than ideal? Was guided surgery utilized? by Faisal Quereshy
Thank you for the presentation. I womder why the crown is so radiolucent on the 3y follow-up X-ray. You wrote that itâs zirconia
In reply to Thank you for the presentation. I womder why the crown is so radiolucent on the 3y follow-up X-ray. You wrote that it’s zirconia by more moremore
In reply to Thank you for the presentation. I womder why the crown is so radiolucent on the 3y follow-up X-ray. You wrote that it’s zirconia by more moremore