The Challenges of Restoring a Single Tooth Implant

Dr Firdaus Hanapiah
BDS (Otago) MSc (Lon.) FDSRCS (England) FICOI



Placement of dental implant has become more common over the years as more and more dentists have learned the art and science of placing dental implant as well as there is an increasing demand for dental implantations from the general public.

However, placement of dental implant with good aesthetics as well as function is still a challenge. This is especially true when restoring anterior upper single tooth implant.

The advancement of technology has helped in many ways as introduction of new materials has helped the clinician in reconstructing an aesthetic restoration that mimics nature as close as possible.

Zirconium milling technology in using computer controlled milling machines has made headways in reconstructing a naturally contoured and life-like crowns for teeth. This same technology is making its way in dental implant restorations.

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Figure 1

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Figure 2 : A healing abutment was later placed to replace the cover screw of the implant

On a second visit, a final impression was taken and promptly sent to our dental technologist with photographs as well as shade taken on the visit. The abutment was chosen and scanned and the zirconium crown was milled. On the third visit, the zirconium was ready for insertion. The abutment was placed and tightened to the specified manufacturer's torque.

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Figure 3: The crown was then carefully inserted, occlusion checked and cemented into the abutment.

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The advent of computer guided manufacturing of Zirconium crowns has revolutionized the way that the implant dentists restore their dental implants. It has given us a natural look and feel to these restorations. The zirconium tooth colored coping has also masked the darker hue of the titanium metal of both fixture as well as abutment.

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