message board Fig. 28 Fig. 29 Fig. 30 Fig. 31 Fig. 32 Fig. 33 Fig. 34 Fig. 35 Fig. 36 Fig. 37 Fig. 38 Fig. 39 Fig. 40 Fig. 41 Fig. 42 Fig. 43 Fig. 28 Fig. 29 Fig. 30 Fig. 31 Fig. 32 Fig. 33 Fig. 34 Fig. 35 Fig. 36 Fig. 37 Fig. 38 Fig. 39 Fig. 40 Fig. 41 Fig. 42 Fig. 43 20 But with a little bit of work, the rough outline starts to appear. You can just see the " submergence groove " I've created just below the CEJ. Now that you've got the shape right, you can go ahead and give that crown a little love. Really buff it up and you end up with this. I'm a surgeon, so this is the only restorative stuff I ever do. And the other side. Please note how the implant is not in the middle of the crown, but off to the palatal side of it. How else are you going to screw-retain it? I've removed the collagen sponge and attached a spare carrier to seal the inside of the implant off. Ready for the grafting, but just look at that frenum. Let's see how much of the fibers of the frenum we can cut through the socket. You won't get them all, but maybe we'll do just enough. Graft. This is OsteoGen moistened with some metronidazole. The OsteoGen is packed into the space between the implant and the labial wall of the socket. Take some blood and spin it to create some PRF. (This is the latest version of PRF called A-PRF+.) Put the PRF " slug " into the PRF box to squash it down. After you've squashed it, it looks like this. A disc of wonderful healing goodness! Make a hole in the disc, but not in the middle of it. It needs to be off to the side because the implant is off to the side of the crown. Feed the PRF disc onto the temporary crown. Fit the crown onto the implant. The PRF covers and protects the graft. It's also going to do one more thing. Tuck the PRF in under the gum a little. Remember that frenum that I cut the inside of with the scalpel? Now's the time to place some periosteal sutures to try and stick it down a little. PTFE tape to the screw hole and a final composite seal over that. MARCH 2021 // dentaltown.com DT0321_MB1_Funcase.indd 20 2/18/21 10:46 AMhttp://www.dentaltown.com