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Restoration of a Poorly Positioned Maxillary Incisor

Posted on July 14, 2016 by Bicon

This case demonstrates how to restore a poorly positioned maxillary anterior implant, which has a trajectory of roughly a 45° angle relative to the long axis of the adjacent teeth.

RESTORATIVE: Porcelain Fused to Metal

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1.

Custom soldered abutment with guide pin demonstrating extreme seating angulation.

2.

Final restoration with a blue 2.5mm guide pin.

3.

Right profile view of the blue 2.5mm guide pin inserted into the implant.

4.

Incisal view of the well of the poorly positioned implant.

5.

Left profile view of the insertion of the custom abutment into the poorly positioned implant.

6.

Left profile view of the definitive seating by tapping the dimple in the abutment with a violet 2.0mm seating tip to facilitate directing the seating forces into the long axis of the implant.

7.

Facial view of the definitively seated custom abutment.

8.

Facial view of the restored lateral incisor implant with a porcelain fused to metal crown.

9.

Radiograph of the final restoration of the poorly positioned implant.

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