JOURNAL OF PROSTHETIC DENTISTRY THE

Vol. 99 No. 1      JANUARY - 2008

ISSN: 0022-3913      UBIC: 171

RESUMEN

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-sup-ported 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. (J Prosthet Dent 2008;99:2-7)

SUMMARY

A new solution is described in which a clinical situation presenting limited restorative space, a subgingival implant shoulder, and interference of the screw-access channel with the incisal edge was approached using a screw-retained custom metal ceramic abutment combined with a bonded porcelain restoration.

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