Lower Central Incisor Implant Supported Crown

November 02, 2014 | Posted in Cerec, Implants | Be the first one to comment

Following a sports injury, this patient was left without a lower central incisor. Initially, the patient was using a removable prosthetic (partial denture) to replce this missing tooth. After wearing the appliance for a few years, the patient decided a fixed option was in order.

An implant fixture was placed with excellent inital stability. A temporary crown was fabricated so the patient no longer required the use of the denture. Once integration of the implant was complete, the patient was ready for the final prosthetic.
 







A scanpost was placed atop the implant fixture and a Cerec digital image was obtained. The Cerec software was used to create an Emax custom abutment as well as an Emax custom crown.








































In the above images, the custom abutment has been delivered and torqued to 35Ncm. The access hole has been sealed with teflon.



















The final crown was cemented and minor tissue recontouring completed with a Waterlase to sculpt the tissues into an esthetic emergence profile. With some additional restorative work (i.e. repair of the fractured canine and a full coverage crown for the adjacet central), the esthetics of this case would be complete.


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