10 Clinical DeNtal tribuNe | January-March, 2010 tially edentulous patients: A ing, the same abutment was torqued with a hand wrench to only 15 Ncm. The abutment was prepared for a crown and bridge impression and the final PFM crown was cemented (Fig 7d). Note the excellent preservation of hard and soft tissue. In fact the papilla adjacent to the left central incisor Fig. 7a: Placing of the implant with motor. Fig. 7b: Apico-coronal placement of implant 3 mm from the free gingival margin. 5-year follow-up report. Int J Oral Maxillofac Implants 2000; 15: 633-645. 5. Bornstein MM, Schmid B, Belser UC, Lussi A, Buser D. Early loading of non-submerged titanium implants with a sandblasted and acid etched surface. Five year results of a prospective study in partially edentulous patients. has regenerated avoiding the black triangle observed during provisionalisation. 6. Clin Oral Implants Res 2005; 16: 631-638. Belser UC, Buser D, Hess D, Schmid B, Bernard JP, Lang NP. Aesthetic Implant restorations in partially edentulous patients – A critical appraisal. Case report 2 A Japanese male, aged 50 years, requested for a match to the color, anatomy and texture of the adjoining central incisor for his missing right central incisor Fig. 7c: Provisional crown custom made with Ceram-X (Dentsply, Detrey Germany). Fig. 7d: Final PFM crown cemented. It was decided not to duplicate the color of the left central incisor since the later it was discolored. Periodontol 2000 1998; 17: 132-150. 7. Morris HF and Ochi S. The influence of implant design, application, and site on clinical performance and crestal bone, a multicenter, multidisciplinary clinical study. Dental Implant 49-55. 8. Weng D. Different microgap designs and their influence on Peri Implant Bone levels. Abstract EOA Vienna. Journal Clinical Research Group. Implant Dent 1992; 1: with an implant- supported crown. After placement of the implant and waiting for 6 months for the hard and, more importantly, the soft tissue to stabilize, an implant-level transfer impression was taken. The technician with the aid of a soft tissue model very accurately prepared the abutment in the laboratory. It was then transFig. 8a: Exact position of the abutment transferred from the model to the patient mouth using an accurate resin transfer jig. Fig. 8b: Exact duplication of contralateral central incisor with PFM crown due to excellent laboratory support. of periodontology 2003; 141. 9. Nentwig G.A. The Ankylos Implant System concept and clinical application. J Oral Implantol 2004; 30: 171-177. 10. Baggi L et al. The influence of Implant Diameter and Length on Stress Distribution of Oseio Integrated Implants Related to Crestal Bone Geometry. A three dimensional Finite Element Analysis. J Prosthet ferred with the aid of a resin transfer jig to the patient’s oral cavity (Fig 8a). The final PFM is cemented. Note the exact duplication of color, anatomy and texture of the adjacent central incisor due to the excellent laboratory support (Fig 8b). Dent 2008; 100: 422-431. DT References 1. Buser D, Weber HO, Lang NP. Tissue integration of nonsubmerged implants. 1 year results of a preospective study with 100 ITI hollow-cylinder and hollow-screw implants. About the author Clin Oral Implants Res 1990; 1: 33-40. 2. Lekholm U, van Steenberghe D, Herrmann I, Bolender C, Folmer T, Gunne J. Osseointegrated implants in the treatment of partially edentulous jaws: A prospective 5-year multicenter study. Int J Oral Maxillofacial Implants 1994; 9: 627-635. 3. Buser D, Mericske-Stern R, Bernard JP, et al. Long-term evaluation of non submerged ITI implants. Part 1:8 year life table analysis of prospective multi-center study with 2359 implants. Clin Oral Implants Res 1997; 8: 161-172. 4. Behneke A, Behneke N, d’Hoedt B. The longitudinal clinical effectiveness of ITI solid-screw implants in parDr. Porus S. Turner is a professor in the department of prosthodontics at A. B. Shetty Institute of Dental Sciences, Mangalore, India. He has 30 publications in national and international journals to his credit and contributed to two books on dentistry. He has authored a book entitled “Art and Science of Aesthetic Dentistry”. He lectures extensively in India and abroad on restorative dentistry and implantology. He can be contacted at porusturner@ hotmail.com.