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IM0410

volumetomographydocumentstheimplantpositions aswellastheminimalinvasivesinuslift(Figs.16&17). In order to mange the soft tissue for an optimal aes- thetic result, following aids were used: _TheuseoftheA.T.P-Punchtoavoidamucoperiosteal flap and to reduce soft tissue trauma. _Theuseofverylargehealingabutments(diam.7mm) tomakespacefortheindividualzirconiumprosthetic abutments (Fig. 18). _An optimal provisional bridge that contours the soft tissue as well. _Using a fine burr to model the keratinized gingiva in the papilla areas. Owingtothehighprimarystabilityoftheeightim- plants (incl. sinuslift) an immediate loading of all im- plantswasdecidedupon.Fullceramicindividualabut- ments, zirconium framework and a ceramic finish (Dental Design Koczy, Figs. 19 & 20) made this bridge perfect in all aspects of the patient’s aesthetic de- mands. The manufacturing of the bridge took three weeks and was cemented permanently using iCem® (Heraeus Kulzer). _Conclusion Insummaryandaccordingtoourconcept,thefol- lowing is needed for an optimal management of soft and hard tissue. _Flapless implantation (A.T.P) _Flapless sinus lift (JEDER®-System) _Navigated implantation (Materialise®) _Individual abutments/Zirconium Framework _Individual provisional solution AdvantagesusingtheJEDER®-System _Minimal invasive technique _No suture, no swelling _No discolouration (haematoma) _Short operation _Almost no pain or discomfort after operation _Large reduction of risk (membrane rupture) _Simplified surgical procedure Dr Philip Jesch ZahnambulatoriumWienerberg City Hertha Firnbergstr.10/2/1 1100,Vienna,Austria E-mail:office@jesch.at Web:www.jesch.at Mag Andreas Bayerle abayerle@jedersystem.com _contact implants ✂ I hereby agree to receive a free trail subscription of (4 issues per year). I would like to subscribe to for € 44 inclu- ding shipping and VAT for German customers, € 46 including shipping and VAT for cus- tomers outside Germany, unless a written cancellation is sent within 14 days of the receipt of the trial subscription.The subscription will be renewed automatically every year until a written cancellation is sent to OEMUS MEDIA AG, Holbeinstr. 29, 04229 Leipzig, Germany, six weeks prior to the renewal date. Reply per Fax +49 341 48474-290 to OEMUS MEDIA AG or per E-mail to grasse@oemus-media.de Last Name, First Name Company Street ZIP/City/Country E-mail Signature Notice of revocation: I am able to revoke the subscription within 14 days after my order by sending a written cancellation to OEMUS MEDIA AG, Holbeinstr. 29, 04229 Leipzig, Germany. OEMUS MEDIA AG Holbeinstraße 29, 04229 Leipzig, Germany Tel.: +49 341 48474-0, Fax: +49 341 48474-290, E-Mail: grasse@oemus-media.de Signature IM4/10 YYou can also subscribe via www.oemus.com/abo