23. 21 after removing the complicated fracture. 24. Placed zirconium implant directly after extraction to support the buccal bonestructure 25. The own tooth was used as a temporary restoration. 26. One week after placement of the implant. 27. Palatinal view one week after implantation. 28. X-ray of the implant. One can see; no loss of interproximal boneheight and as a result of that, natural support of the papillas. 29. Six months after implantation. Beautiful healthy gingiva, no loss of height along the cervical line. 30. Incisal view of the implant in situ, here again a nice healthy gingiva is visible around the implant. 31. Buildup of glass fibre and composite of the implant. 32. Temporary restoration, labially composite, permanent cement because of the long journey, little too short edges for an incisal access of the gingiva.
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33. Status after almost one year. The gingiva did grow a little incisal, a light discoloration of the temporary crown. 34. Immediately after removing the acrylic crown, a light discoloration of the cement, nice healthy gingiva. 35. Final preparation; gingiva-retraction with gingivabraid no. 1. 36. Incisal view; labially support by the implant. Approximal enough space and not too much for the papillas. Therefore the use of a 6mm implant is important. A 5mm would be too thin for a good support. 37. Porcelain crown on a model by Martin Smulders. 38. Several options for making the right choice. 39. Final endresult.
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Implant of the future? Zirconium is to my idea a very promising material for the implantology and many companies will develop similar types of zirconium implants. As a result, implantologists will replace lost teeth with pleasure and this will please lots of patients in the end.
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