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20 CASE STUDY Fig. 29: The anatomical crown shape and the precisely created proximal contacts encourage stabilization of the interdental papillae. Fig. 30: In region 13 a slender titanium abutment was used to cement an individually veneered zirconia crown. Fig. 28: After ring, the anatomical crown emergence pro le and the occlusion were checked on the model. AUTHOR Dr. Maximilian Blume Dr. Maximilian Blume completed his dental studies in 2009 at the Clinic for Dental and Oral Medicine at the University Medical Center Mainz and subsequently com- pleted his residency in the oral surgery specialist practice of Dr. Mischa Krebs in Alzey, Germany. In 2010 he completed his doctoral studies under Professor Wagner at the Clinic for Oral and Maxillofacial Surgery at the University Medical Center Mainz. Since 2011 Dr. Maximilian Blume has worked with Professor Sader in the Clinic for Oral, Maxillofacial and Plastic Surgery at the University Clinic Frankfurt. In 2014 he successfully completed his specialist training in oral surgery specializing in the area of implantology. The focus of his work includes oral implantology and prosthetic reconstruction using implants for patients treated for cancer. Since the start of 2014 he has also been employed by Dr. Weigl in the Department for Postgraduate Training in the Carolinum Zahnärzliches Universitäts-Institut GmbH, where he works as a supervisor and clinician as part of the Master of Science (MSc.) in oral implantology. Fig. 34: The screw access channel was sealed with composite. Fig. 35: One year postoperative sees a stable gingival cuff and closed interdental spaces. Fig. 36: With the iSy implant concept, the requirements of an esthetically challenging reconstruction in the anterior area are successfully satis ed. Contact information Dr. med. dent. Maximilian Blume Prof. Dr. mult. Robert Sader, Clinic director Clinic for Oral, Maxillofacial, and Plastic Surgery Johann Wolfgang Goethe University Frankfurt Theodor-Stern-Kai 7 60596 Frankfurt am Main / Germany Email: Maximilian.Blume@kgu.de [4] Lee A, Fu JH, Wang HL. Implant Dent. 2011 Jun;20(3):e38-e47. Soft Tissue Biotype Affects Implant Success. [5] Schweiger J, Beuer F, Stimmelmayr M, Edelhoff D. Wege zum Implantatabutment. dental dialogue 2010;11:76-90. [6] Chow YC, Wang HL., Factors and techniques in u- encing peri-implant papillae. Implant Dent. 2010 Jun; 19(3):208-19. [7] Zimmermann R, Seitz S, Evans J, Bonner J. CAD/ CAM and lithium disilicate: an anterior esthetic case study. Tex Dent J. 2013 Feb;130(2):141-4. [8] Kim JH, Lee SJ, Park JS, Ryu JJ. Fracture load of mo- nolithic CAD/CAM lithium disilicate ceramic crowns andveneered zirconia crowns as a posterior implant restoration. Implant dent. 2013 Feb;22(1):66-70. [9] Piñeyro A, Tucker LM. One abutment-one time: the negative effect of uncontrolled abutment margin depths and excess cement--a case report. Compend Contin Educ Dent. 2013 Oct;34(9):680-4. [10] Shapoff CA, Lahey BJ. Crestal bone loss and the consequences of retained excess cement around dental implants. Compend Contin Educ Dent. 2012 b;33(2):94-6, 98-101.