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Prosthetic Improvement of Pronounced Buccally Positioned Zygomatic Implants: A Clinical Report
Author(s) -
Bacchi Ataís,
dos Santos Mateus Bertolini Fernandes,
Pimentel Marcele Jardim,
Nóbilo Mauro Antonio de Arruda,
Consani Rafael Leonardo Xediek
Publication year - 2014
Publication title -
journal of prosthodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.902
H-Index - 60
eISSN - 1532-849X
pISSN - 1059-941X
DOI - 10.1111/jopr.12148
Subject(s) - abutment , dentistry , orthodontics , implant , buccal administration , medicine , materials science , engineering , surgery , civil engineering
This report presents a prosthetic technique for the improvement of surgically positioned, buccally placed zygomatic implants with the use of custom abutments for improved retention screw position and an esthetic implant reconstruction. The patient presented four zygomatic implants with pronounced buccal inclination. The anterior implants were inclined toward the location where the anterior artificial teeth should be placed during rehabilitation. As the manufacturer does not provide angulated abutments, we attempted the waxing and overcasting of a prosthetic abutment, repositioning the access holes of the prosthetic screws to a more palatal position. This clinical report demonstrates that abutment customization could be an interesting way to relocate the access holes of the prosthetic screws in cases of zygomatic implants with pronounced buccal inclination.