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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

February 2011
Volume 42 , Issue 2

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A free gingival impression for achieving optimal interdental papilla height: A case report

Takeshi Nozawa, DDS/Norikazu Kitami, CDT/Shunzo Tsurumaki, CDT/Hiroaki Enomoto, DDS/Koichi Ito, DDS, MSD, PhD

Pages: 109112
PMID: 21359244

Failure to tend to inadequate crown contours in the crown trial can cause long-term disharmony of the free gingival form. This case report describes a novel technique for free gingival impression from a final provisional restoration to a zirconia crown. Two die casts were manufactured from a silicone impression. The first die cast was for the zirconia crown; the second die cast was for the final provisional restoration and the provisionalized transfer coping. A free gingival impression was taken using a provisionalized transfer coping, and a soft gingival model was manufactured. The proximal contact position was managed using the predicted convex curve of the interdental papillae. One year after zirconia crown placement, no inflammation was observed around the pyramidal interdental papillae, and symmetric interdental papilla heights were evident. A free gingival impression using a two die-cast technique appears to be useful for achieving optimal interdental papilla height. (Quintessence Int 2011;42:109112)

Key words: free gingival impression, provisional transfer coping, proximal position, 3D setting

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