title: Dynamic UCLA for single tilted implant in an aesthetic region.
abstract: BACKGROUND
  The aim of this paper was to present a rehabilitation of a patient with a dynamic universal castable long abutment (UCLA) for a single tilted implant in the anterior maxillary area.
  
  
  METHODS
  A 57-year-old male patient attended the dentistry college clinic complaining of a vertical fracture of a residual root of the dental element 22. The tooth extraction was indicated for the implant installation. Due to the socket buccal wall thickness, the implant was installed with an inclination to the palate. It was done in a two-stage surgical protocol, and an external hexagon implant (3.75×11.5mm) was placed. After a six-month healing period to correct the implant position, a dynamic UCLA was set in place, rectifying the implant emergence profile at 20°. The ceramic structure fitting was performed and, after the patient's consent, the prosthesis was finalized and installed.
  
  
  CONCLUSIONS
  After a follow-up period of twenty months, no complications were observed.
  
  
  CONCLUSIONS
  The installation of tilted implants with a dynamic UCLA may be a viable option, faster and less invasive than bone grafts.
authors.affiliation: Department of Dental Materials and Prosthodontics, Araçatuba Dental School, UNESP - Univ Estadual Paulista, Brazil. Electronic address: goiato@foa.unesp.br.
authors.forename: Marcelo Coelho
authors.initials: MC
authors.lastname: Goiato
authors.affiliation: Department of Dental Materials and Prosthodontics, Araçatuba Dental School, UNESP - Univ Estadual Paulista, Brazil.
authors.forename: Mariana Vilela
authors.initials: MV
authors.lastname: Sônego
authors.affiliation: Department of Dental Materials and Prosthodontics, Araçatuba Dental School, UNESP - Univ Estadual Paulista, Brazil.
authors.forename: Emily Vivianne Freitas
authors.initials: EV
authors.lastname: da Silva
authors.affiliation: Department of Dental Materials and Prosthodontics, Araçatuba Dental School, UNESP - Univ Estadual Paulista, Brazil.
authors.forename: Stefan Fiuza
authors.initials: SF
authors.lastname: de Carvalho Dekon
authors.affiliation: Department of Dental Materials and Prosthodontics, Araçatuba Dental School, UNESP - Univ Estadual Paulista, Brazil.
authors.forename: Rodrigo Antonio
authors.initials: RA
authors.lastname: de Medeiros
authors.affiliation: Department of Dental Materials and Prosthodontics, Araçatuba Dental School, UNESP - Univ Estadual Paulista, Brazil.
authors.forename: Karina Helga Turcio de
authors.initials: KH
authors.lastname: Carvalho
authors.affiliation: Department of Dental Materials and Prosthodontics, Araçatuba Dental School, UNESP - Univ Estadual Paulista, Brazil.
authors.forename: Daniela Micheline
authors.initials: DM
authors.lastname: Dos Santos
keywords: Dental implant; Esthetics; Mouth rehabilitation