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The Digital One‐Abutment/One‐Time Concept. A Clinical Report
Author(s) -
Beuer Florian,
Groesser Julian,
Schweiger Josef,
Hey Jeremias,
Güth JanFrederik,
Stimmelmayr Michael
Publication year - 2015
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.12256
Subject(s) - abutment , implant , crown (dentistry) , dentistry , dental abutments , soft tissue , orthodontics , computer science , materials science , biomedical engineering , medicine , engineering , surgery , civil engineering
The digital fabrication of dental restorations on implants has become a standard procedure during the last decade. Avoiding changing abutments during prosthetic treatment has been shown to be superior to the traditional protocol. The presented concept for implant‐supported single crowns describes a digital approach without a physical model from implant placement to final delivery in two appointments. A 54‐year‐old man was provided with a single‐tooth implant on his left mandibular first molar. Before wound closure, the implant position was captured digitally with an intraoral scanning device. After bone healing at the time of second‐stage surgery the final screw‐retained crown fabricated without a physical model was inserted. Soft tissue healing took place at the definitive restoration, avoiding abutment changes or changes of the healing cap. These led to stable soft tissues with a minimum of surgery. The benefits of digital fabrication and the unique way to scan the implant right after placement give an additional value that would not be achieved by analog techniques. In addition to financial benefits it represents a biologically advantageous, one‐abutment/one‐time approach with customized screw‐retained, full‐contour crowns or cemented crowns on custom abutments.