Implant replacement of the maxillary central incisor utilizing a modified ceramic abutment (Thommen SPI ART) and ceramic restoration.
The prosthetic restoration of a missing anterior tooth with a dental implant is a challenge. Treatment coordination with a multidisciplinary team is critical in the successful outcome of this type of patient treatment. Newer surgical treatment modalities in the management of hard and soft tissues are becoming common, with very good predictability and long-term stability. Additionally, the use of advanced dental technology and materials such as sintered zirconium allows the restorative practitioner the opportunity to fabricate an esthetic, precise-fitting, biocompatible, and strong definitive prosthesis for the patient, with good longevity.


CONCLUSIONS
The use of an all-ceramic abutment and restoration is described, along with the "soft tissue sculpting" procedure through the use of a custom provisional restoration. The relative ease and convenience of the procedure is also illustrated.
Schneider
Robert
R
University of Iowa Hospitals and Clinics, Hospital Dentistry Institute, Division of Maxillofacial Prosthodontics, 200 Hawkins Drive, Iowa City, IA 52242-1049, USA. robert-schneider@uiowa.edu
D000293:Adolescent; D000044:Dental Abutments; D019250:Dental Implants, Single-Tooth; D003776:Dental Porcelain; D006801:Humans; D007180:Incisor; D008297:Male; D008437:Maxilla; D015040:Zirconium
D003776:Dental Porcelain; D015040:Zirconium; C028541:zirconium oxide