Dental Tribune United Kingdom Edition

17Implant TribuneFebruary 14-20, 2011United Kingdom Edition months with visits. Reflection The patient had an optimal result at the end of treatment, which she was extremely delighted with. Her man- agement throughout was planned and executed with the utmost detail to attempt to deliver the most comfort- able experience possible considering the nature of the treatment involved. She was offered a denture, which she had endured for the past 20 years and refused; a con- ventional bridge, which would have been destructive to the adjacent virgin teeth; or an adhesive bridge which she preferred to her denture but did not instil her with confi- dence. The patient was determined to under- go implant therapy if possible, and she had sought advice as to the feasibility 10 years ago but was dissuaded. She was willing to undergo any necessary treatment to augment the site ready for op- timal implant therapy and was consented for the potential treatment sequence which may even involve block bone grafting and repeated soft tis- sue procedures. As it was, she responded ex- tremely well to treatment and her treatment was more sim- plified than expected. The uti- lisation of a laboratory made prototype restoration was a good policy which greatly improved the final result, although the patient’s finances were lim- ited and it was carried out free of charge. The under contoured adjustment of the standard heal- ing abutment at the minimally invasive second stage proce- dure encouraged more soft tissuegrowth,whichalsohelped the final result. The patient was very amenable to the philosophy employed and nev- er complained about the extra visits involved. Her focus was trying to gain the best possible final outcome. Translation of all of the information worked so hard to achieve in the proto- type was also communicated to the laboratory in as accurate a way as possible, which helped ensure the final result. The use of a narrow platform implant (3.5mm diam- eter) helped to keep the hard and soft tissue dimensions to a maximum and therefore perhaps allow greater long- term aesthetic success, which is why these implants are often utilised in the aesthetic zone. Lengthy discussion was also had regarding root coverage procedures on the other reces- sions, which the patient is now considering following the good result achieved with the adja- cent UR 2. DT Fig 8: Advancement and closure of flap with 4/0 vicryl suture. simple interrupted sutures after periosteal release. Root coverage ur2 evident Fig 9: Healed site prior to second stage surgery page 18DTà Ems-swissqualitY.com For more information> www.ems-swissquality.com savE cEllsNEw Ems swiss iNstrumENts surgErY – saviNg tissuE with NEw iNNovatioNs iN implaNt dENtistrY The inventor of the Original Piezon Method has won another battle against the destruction of tissue when dental implants are performed. The magic word is dual cooling – instrument cooling from the inside and outside together with simultane- ous debris evacuation and efficient surgical preparations in the maxilla. cooliNg hEals A unique spiral design and internal irrigation prevent the instrument’s temperature from rising during the surgical procedure. These features combine effectively to promote excel- lent regeneration of the bone tissue. EMS Swiss Instruments Surgery MB4, MB5 and MB6 are diamond- coated cylindrical instruments for secondary surgical preparation (MB4, MB5) and final osteotomy (MB6). A spiral design combined with innovative dual cooling makes these instruments unique in implant dentistry. coNtrol savEs Effective instrument control fosters atraumatic implant preparation and minimizes any potential damage to the bone tissue. prEcisioN rEassurEs Selective cutting represents virtually no risk of damage to soft tissue (membranes, nerves, blood vessels, etc.). An optimum view of the operative site and minimal bleeding thanks to cavitation (hemostatic effect!) further enhance efficacy. The new EMS Swiss Instruments Surgery stand for unequaled Swiss precision and innovation for the benefit of dental practitioners and patients alike – the very philosophy embraced by EMS. > EMS Swiss Instrument Surgery MB6 with unique spiral design and internal instrument irrigation for ultralow temperature at the operative site