An esthetic solution for single-implant restorations - type III porcelain veneer bonded to a screw-retained custom abutment: a clinical report.
A new esthetic solution to restore dental implants in combination with limited interdental, facial or labial, or interocclusal space is presented. This article describes the translational application of novel-design porcelain veneers and adhesive restorative principles in the implant realm. A patient is presented who was treated with a single implant-supported restoration replacing a missing mandibular lateral incisor and partially collapsed interdental space. A screw-retained custom metal ceramic abutment was combined with a bonded porcelain restoration. This unique design was motivated by the limited restorative space and subgingival implant shoulder. It was also developed as a solution to the interference of the screw-access channel with the incisal edge, therefore providing the surgeon with more options during implant axis selection. The porcelain-to-porcelain adhesive approach was used instead of traditional principles of retention and resistance form of the abutment.
Magne
Pascal
P
Don and Sybil Harrington Foundation, Division of Primary Oral Health Care, School of Dentistry, University of Southern California, Los Angeles, CA 90089-7792, USA. magne@usc.edu
Magne
Michel
M
Jovanovic
Sascha A
SA
D000328:Adult; D003758:Dental Implantation, Endosseous / Q000379:methods; D019250:Dental Implants, Single-Tooth; D003776:Dental Porcelain / Q000627:therapeutic use*; D017267:Dental Prosthesis Design / Q000379:methods*; D017268:Dental Prosthesis Retention / Q000379:methods*; D003801:Dental Veneers; D004955:Esthetics, Dental; D016557:Guided Tissue Regeneration, Periodontal / Q000379:methods; D006801:Humans; D008297:Male; D016388:Tooth Loss / Q000628:therapy
D003776:Dental Porcelain