Lateral maxillary incisor implant Part II

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Fig. 1a: Provisional abutment after modified roll flap.

Fig. 1b: Temporary crown in place at the end of the surgical reopening.

Figs. 2a,b: Intraoperative placement of a 15° angled abutment (a). Precise rotational adjustment of the implant (b).

Fig. 2c: Check of rotational adjustment in the axial plane.

Fig. 3: Surgical kit with 3.0, NP and RP angled abutments (NobelActive system).

Fig. 4a: Temporary coping created with a brush (UNIFAST III, GC) and a veneer.

Figs. 4b,c: Initial clinical situation with a 15° angled abutment in place (b). Temporary coping in place (c).

Fig. 5a: Bonding of the coping and veneer. Palatal view showing the small quantity of resin used.

Figs. 5b–d: Bonded veneer, then relined and finished.

Fig. 5e: Provisional crown after cementing.

Fig. 6a: Buccal compression.

Fig. 6b: Creation of a concave profile on the provisional crown.

Fig. 6c: Provisional clinical outcome: The shape of the incisal edge also plays a role in the esthetic result.

Fig. 6d: Resin applied with a brush to distalize the zenith (UNIFAST III).

Fig. 6e: Emergence profile optimized by the provisional crown.

Figs. 7a & b: Resin transfer coping on a standard abutment. Transfer coping on an abutment that has never been removed.

Fig. 7c: Transfer and analog repositioned in a polyether impression (Impregum, 3M ESPE; Rim-Lock dental impression tray, Zhermack).

Fig. 8: Creation of cement retentions on a titanium abutment.

Figs. 9a-c: IPS e.max high-opacity crown coping (a). Initial clinical result and radiograph (b & c).

Fig. 9d: Result after one year.

Figs. 10a–c: Smile of female patient showing restoration of tooth #12 with IPS e.max (a). Close-up photograph: The opaque armature is visible (b). Radiograph (c).

Fig. 10d: The esthetic finish of the veneer on tooth #22 is superior to that of IPS e.max on tooth #12.

Figs. 11a–c: Metal–ceramic crown on master cast (a). Clinical result: The mesial and distal papillae are aligned (b). Radiographic result (c).

Figs. 12a–d: Master cast with the metal– ceramic crown on a modified abutment (a & b). Clinical result: The papillae are aligned (c). Radiographic result (d).

Figs. 13a–d: NobelProcera screwed zirconia abutment (a) and all-ceramic crown (b). Screwed abutment in the mouth (c). Esthetic outcome (d).

Figs. 14a & b: One-piece zirconia crown (a). Esthetic integration (b).

Fig. 15: The collar level of tooth #22 is ideal, but the papillae are slightly truncated.

Fig. 17a: Initial situation.

Fig. 17b: After three years, the papillae are slightly longer.

Fig. 18a: Smile of female patient in 1998.

Fig. 18b: Smile of female patient in 2014. Egression of natural teeth.

Fig. 19a: Smile of female patient in 2001.

Fig 19c: Verticalization and egression of central incisors, lateral view.