When restoring fixed teeth on implants we only use custom-made abutments (which link the implant to the prosthetic tooth).
Standard abutments are cheaper but they do not tend to work as well for many different reasons.
Paul usually plans to hold the implant-supported crown to the implant using a screw at the base of a hole running through the prosthesis which is then filled in with white filling material.
If the prosthetic tooth needs to come off in the future, the filling material can be simply removed and the prosthetic tooth unscrewed.
Sometimes things need to be done differently in the front of the mouth. If you would like to find out more please read on by clicking the sensitive and detailed region below.
Sensitive and Detailed Information
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Below is a series of photos of a patient who needed to have their two front teeth removed as they had long standing infection around them.
They had too much infection causing bone loss and too narrow a space to place two implants. The options were talked through with the patient and they chose to have one implant to replace two missing teeth.
Throughout the time of treatment the patient always had a fixed tooth replacement in place, which was held in place by the neighbouring teeth (resin bonded bridge). It was only removed in the treatment room and replaced at the end of each session so they had the confidence to work and socialise.
One implant was placed in the correct location for a good aesthetic outcome and eventually a custom-made abutment was constructed seen here on the study model.
The custom-made zirconia abutment is very gum and bone friendly. The abutment has been designed to allow Paul to ensure no cement is left deep down, closer to the underlying bone where it is very difficult to reach.
A beautiful prosthesis (false teeth) was made by dental technician Stephen Lusty, which was then very carefully cemented into place.
The patient was very pleased with the final result.