24
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CERECDOCTORS.COM
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QUARTER 2
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2016
was inserted and torqued to 35 N/Cm
(Fig. 26), the screw access hole was
sealedwithTeflon tape anda composite
restoration, the new Telio CAD provi-
sional restoration was cemented with
a temporary cement and the patient
referred back to her restorative dentist
for the fabrication of the final implant restoration.
The final post-operative clinical and radiographic evaluation
revealed a very pleasing esthetic, and functional outcome with
stable peri-implant soft and hard tissues (Figs. 27-30).
DISCUSSION
This case report demonstrated the high degree of precision and
efficiency that can be achieved with the CEREC digital implant
dentistry workflow. In an ideal scenario such as the case described
above, the entire implant treatment can be accomplished in
two appointments. The first appointment would consist of a
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B O LT C H I
Fig. 21 (right): Immediate postoperative
periapical radiograph
Fig. 22 (above): Immediate post-
operative CBCT scan
pre-operative digital impression, virtual implant planning, in-house
fabrication of the CEREC Guide, guided implant placement, digital
impression of the implant and the digital fabrication of a provisional
restoration or a custom tissue former. The second appointment
would consist of the in-house digital fabrication of the final implant
restoration — without the need for an additional digital impression
— removal of the provisional restoration or custom tissue former,
and the insertion of the final implant restoration.
For questions and more information, Dr. Boltchi can be reached at
Fig. 23: e.max
custom hybrid
abutment
and new
Telio CAD
provisional
crown
