DPR

Fig. 01 Malpositioned implant and unhealthy soft tissue after poorly planned and executed surgery.

Fig. 02 DSD planning for mapping future results. Relocating the occlusal planes and axial positions of teeth were recommended to optimize tooth replacement and esthetics.

Fig. 03 Orthodontic therapy to better align arches and optimize implant site parameters.

Fig. 04 Post-orthodontic positioning of teeth which led to a widened space between tooth Nos. 10-12. Note the wear and slight tilt of the incisal plane.

Fig. 05 Laboratory mock-up for better white/pink planning of dental and gingival contours.

Fig. 06 Gradia pink shade matching is best done prior to anesthesia and tissue manipulation, which affects blood flow in the area to be matched.

Fig. 07 Laser sculpting of soft tissue helps to minimally invasively improve shapes and proportions.

Fig. 08 Using a well adapted putty matrix and Bisacryl material is an accurate way to create a provisional.

Fig. 09 Aluminum oxide spray will improve the adhesion of many restorative materials.

Fig. 10 Layering pink composite is done to replicate the adjacent tissues.

Fig. 11 Unfilled resin helps sculpt and blend the composite.

Fig. 12 Tinting of the Bisacryl blends the color characteristics of natural teeth.

Fig. 13 Painting GC’s Optiglaze adds a seal to the provisional and preserves optical properties in the restoration.

Fig. 14 Immediate post-op of new provisional with a natural color and pink/white balance.

Fig. 15 A multipurpose resin is applied to promote composite adhesion.

Fig. 16 Compule delivery system makes it easier to apply Kalore with precision and less contamination.

Fig. 17 Rotary composite finishing instruments create the initial contours and final secondary anatomy for the composite enhancement.

Fig. 18 An improved esthetic appearance gives the periodontist improved landmarks and the patient increased confidence going into the surgical phase of care.

Fig. 19 CBCT cross-sectional view allows the surgeon to view the “triangle of bone” relative to an ideally placed tooth. Note the labial osseous defect that must be improved for stable support and esthetics.