title: The use of a zirconia custom implant-supported fixed partial denture prosthesis to treat implant failure in the anterior maxilla: a clinical report.
abstract: Over the last decade, there has been a dramatic rise in patients' esthetic expectations with regard to both conventional and implant prosthodontics. The loss of hard and/or soft tissue dimensions, often unpredictably, around implants, can result in potential embarrassment due to the display of metal components. Patients are understandably reluctant to accept visibility of metal abutments and/or the implant substructures, especially in the esthetic zone, even if biologically sound. The use of 1-piece zirconia implant frameworks or, alternatively, custom zirconia abutments with a zirconia framework, has enabled both a good biological response as well as the ability to improve the esthetic outcome. This clinical report demonstrates the use of a 1-piece zirconia implant-supported fixed partial denture in the anterior maxilla, with minimal soft tissue dimension above the implant shoulder level, which dictated the need for prosthetic soft tissue augmentation.
authors.affiliation: The Macquarie Street Centre for Implant and Aesthetic Dentistry, BMA House, Sydney, Australia. david@macquariestreetcentre.com.au
authors.forename: David B
authors.initials: DB
authors.lastname: Dunn
mesh_terms: D000540:Alveolar Ridge Augmentation; D016025:Bone Transplantation; D003758:Dental Implantation, Endosseous; D003776:Dental Porcelain; D017267:Dental Prosthesis Design; D017268:Dental Prosthesis Retention / Q000295:instrumentation; D019094:Dental Prosthesis, Implant-Supported; D019232:Dental Restoration Failure; D003830:Denture, Partial, Fixed; D020878:Device Removal; D006801:Humans; D007180:Incisor; D008297:Male; D008437:Maxilla; D008875:Middle Aged; D012086:Reoperation; D015040:Zirconium
chemical_list: D003776:Dental Porcelain; D015040:Zirconium; C028541:zirconium oxide