Dentistry Today — June 2023

Inside this issue

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   DENTISTRY TODAY CONTENTS JUNE 2023 · VOLUME 42 · NO. 5 ORAL HEALTH 24 Health, Function, and Aesthetics: The Autoimmune Patient Dr. Hazel Glasper takes us through treatment of a patient with Sjogren's syndrome using her practice model, which focuses on the relationship of overall health to function and aesthetics. IMPLANTS 64 Modified Emergence Profile of a Maxillary Central Incisor Implant Drs. Marwa Emam and Ayman Eldimeery discuss the fact that the replication of proper emergence profile of an implant restoration is fundamental for the restoration's success. Using custom healing covers can deliver a restoration that fulfills the patient's needs…

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   EDITOR'S PAGE R-E-S-P-E-C-T A year ago, after I presented one of my workshops, Dr. Anne Kent from New Brighton, Minn., came up to me and said "I loved this course, and it was a level playing field. I didn't quite understand what she meant by that. She explained, "I am a woman dentist, and I was treated here as a dentist." On questioning Anne, as well as several dentists who are women, I was a bit shocked to find that when one walks into a room of dentists or goes up to a trade show booth, they often get asked…

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   Outperformers: Practices Outperforming the Pack, and How I clearly remember the date, March 17, 2020, when the city of Chicago placed a mandatory shelter-in-place order. I locked up the practice and said to my team, "I will see you in 2 weeks." In the meantime, panic struck and I needed to devise a plan for my pediatric and orthodontic offices. I know now that it was not the only fearing for my business and patients. At the onset "fear" wasn't even the tip of the iceberg of how I felt during the mandate. I'm sure many of you can relate.…

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   VIEWPOINT continued from page 10 supports the idea that women who support one another are more successful as Shelby Zalis, CEO of The Female Quotient, discussed in her column for Forbes. Many dentists have similar personality traits. I think we would largely agree that dentists can be risk averse, perfectionists, ambitious, studious, and perhaps "to themselves." What MDIB provides is a space where moms can feel supported, heard, and share ideas. The start of the pandemic to the present day demonstrates the true purpose of MDIB, which is that when one rises, we all rise together. Now how we all…

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   Anesthesia Delivery System Stops Patients' Fears Ronvig's Calaject is a computer-controlled local anesthetic delivery system, which was acquired by Directa AB. Calaject helps eliminate pain for patients and ergonomic issues clinicians experience. "During my 19 years in clinical practice, I have identified local anesthesia administration as one of the most significant pain points in my day," said Brett Gilbert, DDS. "Fortunately, my discovery of Calaject has completely transformed my practice." Brett Gilbert, DDS helping both my patients and me alleviate one of the greatest pains in dentistry, the local anesthesia injection." Gilbert added: "The Calaject system is an incredible win-win…

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   Women in Dentistry Anne M. Duffy, RDH, discusses the growth of women in dentistry and how patients and teams benefit from the changing landscape. Q: Is the future of dentistry female? A: The landscape of dentistry is changing as more women become involved in the field. Recent statistics show that 56% of graduating dentists, 93% of dental hygienists, 99% of dental assistants, and 90.3% of office managers are women. The numbers don't lie—women are here, and we're making our mark in dentistry. However, the future of dentistry isn't limited by gender. Instead, we'll be able to propel it forward by…

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   Ultradent Products Powered Impression Gun Streamlines Chairside Material Dispensing SOUTH JORDAN, Utah - The BFC3 impression gun is Ultradent Products' first cordless, hand held, motorized tool to express dental impression material. Designed for efficiency, precision, and convenience, it streamlines dental impression procedures and chairside material dispensing. Featuring an ergonomic design, the BFC3 impression gun is compatible with standard 25, 50, and 75 mL or 2:1 automix cartridges. It has an adjustable flow rate that optimizes the expression of various impression materials, allowing clinicians to be in full control of the amount of material needed for each procedure. The BFC3 impression…

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   Midmark Digital Sensor System Provides Superior Image Quality VERSAILLES, Ohio–The Midmark Intraoral Digital Sensor System is designed with enhanced triggering to ensure a reliable image capture. The system boasts the best line pairs per millimeter on the market (35.7 lp/mm) for superior image quality (data on file). Notable features include a thin profile, rounded corners, and contoured surfaces to optimize patient comfort. There is also advanced CMOS technology to optimize resolution while reducing noise for sharp, detailed images and a direct USB 2.0 connection for simplified practice integration. Clinicians can optimize convenience through built-in integration with the Midmark Preva Intraoral…

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   SprintRay Ceramic Crown Solution Quickly Delivers Designs in Minutes LOS ANGELES–The Ceramic Crown solution combines a industry-first products: automated AI design, a new class of ceramic dominant resin, and new production hardware. Powered by artificial intelligence and 24/7 availability, AI Crown Design can deliver a crown design in 5 minutes or less from a single cloud platform. Ceramic Crown resin is a breakthrough material composed of more than 50% ceramic. It is FDA cleared for 3D printing definitive full crowns, partial crowns, and veneers. Because Ceramic Crown is greater [THIS IS FIGURE: Image showing three white ceramic dental crown samples]…

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    Open Sensor by DentiMax Sensor Produces Images With Excellent Quality, Detail, and Clarity MESA, Ariz—DentiMax's Open Sensor provides exceptional image quality that rivals more expensive sensors. It demonstrates an excellent ability to visualize enamel, dentin, caries, cracks, and associated structures of the teeth and bone. It is one of the thinnest sensors on the market and features a direct USB connection for fast and easy setup. Its open technology allows clinicians to use the sensor with their current software. For more information, call (800) 733-6820 or visit the website located at dentimax.com/open-sensor. . PRECISE. BALANCED NSK's Award-winning Handpieces & Micromotor…

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    Air2Zed Wireless Option Expands Range of Sensors by Three Times SCHAUMBURG, Ill - Less than 2 years after its global launch, Air2Zed continues to expand its reach while sensor manufacturers line up to become supported by this new technology. Air2Zed offers some of the newest technology available to enhance one's imaging workflow by eliminating the wire and all the costs and headaches that come with plugging, unplugging, dragging, dropping, and tripping over the cables. Furthermore, by converting a sensor to a wireless option, the innovative system expands range by 3 times or more when compared to a wired workflow. This…

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    TECHNOLOGY 23 SPOTLIGHT ASI Dental Integrated Surgical Table Provides Sufficient Workspace to Lay Out Instruments ENGLEWOOD, Colo.–The Glider is an integrated instrument solution for efficient implant and surgical procedures. The new surgical dental treatment station is easily positioned over standard and surgical-style patient chairs and provides sufficient workspace to lay out sterile instruments while integrating motors, handpieces, and suction instruments for ease of access by the dental team. The Glider is mounted on stable, heavy duty casters with a programmable electric height adjustment. This allows for a full range of operator capability for either sit-down or stand-up treatment with mobile…

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    Health, Function, and Aesthetics: The Autoimmune Patient INTRODUCTION Dental professionals must recognize that more than 90% of systemic conditions appear in the mouth—autoimmune conditions such as Sjögren's syndrome, lupus, sarcoidosis, diabetes, HIV, and hematological issues. Crohn's disease can present in the mouth before gastrointestinal symptoms, as can numerous other conditions. I have had the opportunity to diagnose many of these disorders over the years and work with many of my patients' other healthcare providers to improve patient outcomes. The clinical presentation of a patient with Sjögren's syndrome, an autoimmune condition, is the hallmark symptom of dry eyes and mouth. Whether…

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    ORAL HEALTH ...patient presented with a chief dental complaint of dry mouth and generalized sensitive teeth. Functional Approach This step occurred before all others. • Before any restorative work, models were taken. The upper arch's horizontal relationship was determined using a SAM 3 Articulator kit (Great Lakes Dental Technologies) with face bow. The patient was deprogrammed with a leaf gauge for 15 to 20 minutes, and centric bite records were taken. • A minimal slide from CR to CO was identified. The discrepancy was eliminated on the cast and teeth. • Select teeth are sometimes equilibrated to create more balanced…

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    Precious Metal Refining Has Evolved Significantly in Dentistry The use of precious metals in dentistry dates back thousands of years, with evidence of gold dental work found in the teeth of ancient Egyptians, Greeks, and Romans. Over time, the refining of these metals has evolved to improve their purity and suitability for use in dental applications. Early methods of refining precious metals for use in dentistry involved simply melting the metal and casting it into a desired shape. However, this process often resulted in impurities that could compromise the quality of the metal and potentially cause harm to the patient.…

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    Doral Refining Doral Refining has a national sales force made up of local representatives. The company's personal visits and 50 years of unsurpassed customer service set it apart in the refining industry. Doral believes that you should have your refining questions answered and receive a deposit before you allow your precious metals to leave your office. The company provides a transparent way to recycle dental material and guarantees that you are paid for the weight and nobility of your metals. For more information, call (800) 645-2794 or visit doralrefining.com. Doral offers the following: • When a dentist uses Doral, he…

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    Argen Argen is one of the world's largest manufacturers of precious dental gold alloys and a leader in scrap refining services. Materials for refining are opened in a secure area monitored by surveillance and analyzed by an ICP machine that provides an assay with 99.9% accuracy, providing the highest payout possible. If someone is not satisfied with the results, the company will return materials in the form of a layered, solled metal bar. Argen pays for gold, platinum, palladium, and silver. For more information, call (800) 255-5524 or visit argen.com/dentist-refining#/. Argen offers the following: • Earn 2 to 5 times…

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    Weave Platform Simplifies Patient Communication LEHI, Utah—Weave is an all-in-one customer communication platform for dental offices. From the first phone call to the final invoice and every touch point in between, Weave connects the entire patient journey. It provides dental practices with one platform for texting, phones, payments, scheduling, reviews, and more. With Weave, an office can simplify and automate tasks like payment reminders, missed call texts, scheduling, and billing, ultimately giving staff more time to focus on patients. Weave has partnerships with the largest practice management systems in the industry to make its features even more impactful for dental…

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    ArtCraft Dental Atraumatic Elevators Help Avoid Broken Root Tips DALLAS–If you struggle with broken root tips in your practice, then try Xpanders. These are the most atraumatic elevators devised to date (data on file). This revolutionary invention by David Fyffe, DDS, will upgrade extractions. Tired of the many mediocre elevators already on the market, he sought to invent something that was faster and easier. With these in your arsenal, you no longer have to dread deep broken-root tip mishaps. The power is in the double action tips. Just a small amount of penetration into the PDL space is all that…

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    Orascoptic Loupes Implement Refractive Prisms, Reducing Neck Tilt MADISON, Wis.–Ergo loupes are available in 3.0x and 3.5x magnification levels. Orascoptic's vision is to drive the best patient outcomes by providing superior visualization for every healthcare procedure. The inspiration behind both Ergo loupes and all Orascoptic products is to challenge the status quo—to elevate dental and medical procedures. Available in the RDH Ergo 3.0x and HDL Ergo 3.5x, these loupes implement refractive prisms to allow clinicians to sit up straight and reduce neck tilt. With verified 3.0x and 3.5x magnification levels, deflection optics improve posture without sacrificing vision. For more information,…

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    Kuraray America Resin Cement Offers Ideal Consistency for Easy and Secure Application NEW YORK–PANAVIA Veneer LC is an advanced, light-cured resin cement with excellent color stability and high wear resistance. It provides ample working time and offers fast and easy cleanup. It is indicated for permanent cementation of aesthetic veneers and can also be used for inlays and onlays less than 2-mm thick. Offering ideal consistency for easy and secure application across the intaglio surface, PANAVIA Veneer LC does not stick to the application tip due to its unique nano-filler technology. This technology consists of spherical silica fillers in the…

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    Women in DENTISTRY Are Women Finally Equal? I once had a conversation with a woman who said she wished we (women) never entered the workforce. She had wished that we never fought for equal rights. I don't necessarily consider myself a feminist, but I'd slightly gasped at her comment at that look weeks, if not months, to unpack it. And since then, there have been many moments when I'd agreed with her. With us entering the workforce; working full time; and rising to become industry leaders, CEOs of corporations, deans of universities, prime ministers, vice presidents, we'd begun to imagine…

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    Women in DENTISTRY A 'Guiding Leader' for Dental Technology As 2021 drew to a close, Jim Glidewell, CDT, founder and owner of America's largest, most innovative dental laboratory, came to a landmark decision. For the first time in the 52-year history of his company, he was going to relinquish the role of CEO, bestowing it upon 15-year enterprise veteran Stephenie Goddard. "This is not a matter of me stepping down," Mr. Glidewell stressed at the time. "But with all that we're doing in an effort to improve the lives of dentists and their patients, I could use another hand at…

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    Women in DENTISTRY Empowering Women in Dentistry: The Remarkable Journey of Dr. Jaleena Jessop Daniel Lewis Balancing the rigors of a career alongside personal life can be challenging enough. For dentists who own their own practices, the unpredictability of entrepreneurship must be navigated while also caring for patients and developing clinical skills. Adding another professional pursuit to the complexities of owning and operating a dental office could seem daunting to many, but it's daily life for Dr. Jaleena Jessop, DDS. One day she'll be caring for patients at her office in Salt Lake City, and the next day she'll be…

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    Women in DENTISTRY Empowered Women...Is It Really a Man's World? Roma Patel, DMD, and Lindsay Stewart, RDH Q: Can you talk about the career path that led you to Aspen Dental? A: Roma Patel, DMD: After obtaining an undergraduate degree in biology, I started dental school and started working as an associate dentist for Aspen Dental in Columbus, GA. I transferred shortly after to Pooler, GA, where I've been since 2016. Lindsay Stewart, RDH: I studied dental hygiene and graduated from Savannah Tech after finishing my bachelor's degree in business management at Georgia Southern University. Before joining Aspen, I worked…

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    Women in DENTISTRY Henry Schein's Women's Leadership Network Making Strides to Advance Women in Dentistry Cultivating a culture of diversity, equity, and inclusion is high priority for dental practices and corporations of any size. For Henry Schein, establishing employee resource groups (ERGs) dedicated to promoting a diverse and inclusive culture has transformed the way employees engage personally and professionally. The company's first ERG, the Women's Leadership Network (WLN), gathers women and allies to encourage equity across the organization, and in the dental profession. "When Henry Schein introduced WLN as its first ERG, I believe we recognized the importance in highlighting…

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    Women in DENTISTRY Igniting Innovation, Impact, and Investment Across Dentistry Carolyn Brown, DDS As a growth-focused and insights-driven healthcare executive, Dr. Carolyn Brown is a nationally recognized strategic dental consultant. She works with like-minded individuals and companies to achieve growth, better health outcomes, and digital innovation and to bridge the gap across the medical-dental divide. Dr. Brown has long worked with top-tier companies, bringing her strategic, clinical, insuretech, and healthcare expertise to companies such as MouthWatch, DentistryOne, Vardis, Alvarez & Marsal, CareOregon, CareQuest Institute for Oral Health and Innovation Partners, and provider organizations. As a consultant to MouthWatch, a leading…

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    SPECIAL ADVERTISING SECTION 47 Women in DENTISTRY AI Offers Crucial Second Opinion In 1977, Maxine Feinberg decided to make some tough and unpopular choices. Though only 5% of dentists were women, she applied to New York University Dental School. There she became the first female class president. She finished her training in periodontics in 1984 and never looked back. She opened a practice limited to periodontics in 1986 and became involved in organized dentistry. She became the first female president of the New Jersey Dental Association in 2002, served on the ADA Board of Trustees representing the Fourth District in…

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    Women in DENTISTRY WiD: Work. Life. Balance. Empowering Women Across the World Dentistry, once considered a primarily male-dominated profession, has seen a remarkable shift in recent years. More and more women are entering the field, breaking down barriers and making significant contributions to the dental industry. Dr. Effie Habsha created Women in Dentistry: Work. Life. Balance. (WiD) in 2010 with the aim of elevating, educating, and empowering all women in the field. After graduating from the Faculty of Dentistry, University of Toronto, Dr. Habsha began her career as a prosthodontist in Toronto. She continues to expand her learning and contributions…

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    SPECIAL ADVERTISING SECTION 49 Women in DENTISTRY Disrupting Dental Marketing When I started working in the dental industry, there were very few women. Throughout the years, I have witnessed a shift, and I am excited to see more and more women establishing their careers in dentistry. I am proud, and also humbled, to be a part of an industry in which so many incredible women are making an impact as doctors, entrepreneurs, and executives. I began my career in dental laboratory marketing and spent more than a decade working with dental labs across the country. It was during this time…

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    Women in DENTISTRY Dress Your Part "When you feel better about how you are dressed, I believe you carry yourself better, perform better, and project a more positive image to your patients and colleagues." Right or wrong, humans take the first 30 seconds upon meeting you to form an opinion about you. What do they have to go by? Your attire, your smile, your posture, your overall image. The way you look and carry yourself speaks volumes to those around you. You can gain instant credibility by looking put together and appropriate for all occasions. Studies show that well-dressed people…

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    Women in DENTISTRY "Professional attire isn't just about fashion: when I dress professionally in my Twice as Nice Uniform I establish a sense of trust and expertise, especially as a young female dentist. By embodying professionalism through my attire, I not only enhance my confidence but also inspire respect and confidence in my patients, fostering a positive and impactful dental experience." —Trudy-Ann Frazer, DDS bottom line. When dressing for work, think about your mission statement, and be complimentary of your colors and environment. You want this to be an aesthetic flow. What kind of vibe do you want to project?…

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    Women in DENTISTRY Groundbreaking Collaboration In my nearly 17 years in the dental field, I have witnessed remarkable transformations and discovered my own true passion. Starting as a dental assistant in Olympia, Wash., I quickly became enamored with the intricacies of dentistry. Little did I know then that this profession would evolve from a mere job to a deep-rooted love that extended far beyond the confines of a clinical setting. Following dental school, my path mirrored that of many dental graduates: I became an associate and eventually opened my own private practice. Starting from scratch, I relied on my belief…

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    Women in DENTISTRY Women Helping Women The idea of an "all-woman dentist" issue of Dentistry Today is intriguing and probably well overdue. With the increase in women attending dental school programs the need for mentors and support mechanisms becomes most prominent. The female perspective is unique. Building the practice from scratch is not easy for anyone and was not a simple endeavor for a single female like myself. My staff consists of mostly women with one young man who aspires to become a colleague. Several hygienists keep me hopping, and my outstanding front office and clinical team help create success.…

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    Industry News Glidewell Partners With LuxCreo to Launch Innovative Chairside 3D Printing Solution [Image of a white 3D printer device with digital display] Glidewell has announced a new partnership with LuxCreo to introduce the fastprint.io 3D Printing Solution. This co-branded dental 3D printing solution is part of Glidewell's rapidly growing glidewell.io In-Office Solution platform and expands Glidewell's portfolio of digital solutions that bring the world's most innovative dental lab chairside. The glidewell.io InOffice Solution uses advanced digital technology to create single-visit restorations made from BruxZir NOW fully sintered zirconia and other industry-leading materials. This affordable, AI-driven, chairside CAD/CAM system gives…

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    The Ability to Chew Properly Could Help Treatment of Type 2 Diabetes A recent study conducted by Mehmet A. Eskan, DDS, PhD, a clinical assistant professor at the School of Dental Medicine at University at Buffalo, has revealed a significant association between chewing function and blood glucose levels in patients with type 2 diabetes (T2D). The retrospective study analyzed data from 92 T2D patients who visited an outpatient clinic in Istanbul, Turkey. The patients were divided into 2 groups based on their occlusal function, which refers to their ability to chew effectively. The group with good occlusal function had a…

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    Processing an Implant Crown in the Aesthetic Zone This is a very interesting issue of Dentistry Today which all of us should take some time reflecting on. As a fella, I really had no idea of the tribulations that women dentists experience. When I heard from one of our implant contributors, Dr. Marwa Emam, who practices in Cairo, Egypt, that some male patients refuse to receive dental treatment by a female dentist, I am surprised and disgusted. As a major percentage of dental school students are now female, this contemptuous sentiment really will not hold water soon. I have the…

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    Implant Systems Dentsply Sirona Implants The Astra Tech Implant System EV is designed with a site-specific, crown-down approach based on the natural dentition. A versatile range of implants includes straight, conical, narrow (3.0 mm), wide (5.4 mm), short (6 mm), and sloped implants for surgical flexibility. The site-specific restorative components, as well as a unique, one-position-only interface for placement of Atlantis patient-specific abutments, provide restorative ease. The implant offers predictable, aesthetic results. Numerous studies demonstrate that the marginal bone change around OsseoSpeed implants is 0.3 mm. For more information, call (800) 531-3481 or visit dentsplysirona.com. Use FREE info card, Hiossen…

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    IMPLANT SYSTEMS 63 Glidewell The Hahn Tapered Implant System can help a practice thrive through a streamlined surgical protocol, everyday cost savings, and the strongest warranty in implant dentistry (data on file)—from Hahn implant to BruxZir restoration. The Hahn implant is available at a fraction of the price of other premium implant systems. Plus, you'll save 20% every time you restore a Hahn case at Glidewell. Get a free surgical kit and implant course when you buy 20 implants. For more information, call toll-free at (888) 303-3975 or visit the website located at glidewell.com/hahn-intro. /LA Spiral Implant System combines German…

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    Modified Emergence Profile of a Maxillary Central Incisor Implant INTRODUCTION Replacement of incisors is a huge challenge for clinicians, technicians, and even patients, and although the advancements in dental implants and techniques made outcomes more predictable, proper management of the soft tissues and patients' acceptance of results are still not guaranteed. Moreover, patients facing the loss of their teeth may experience apprehension toward losing their social image or daily function. Hence, patients often expect that have their implants restored with a fixed prosthesis similar to their natural dentition much earlier during the treatment phase. The preparation of aesthetically appealing and…

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