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The 'One Customized Abutment One Time' Concept-An Innovative Technique for Optimizing Immediacy and Digital Protocols
The International Journal of Prosthodontics
|October 12, 2023
Summary
This study presents a new digital technique for dental implants. It uses custom abutments and crowns placed immediately after surgery to reduce treatment time and improve esthetics, minimizing marginal bone loss (MBL).
Area of Science:
- Dental Implantology
- Digital Dentistry
- Prosthodontics
Background:
- Repeated abutment disconnections can compromise the mucosal barrier around dental implants.
- This can lead to significant marginal bone loss (MBL), a common complication in implant dentistry.
Purpose of the Study:
- To describe a novel digital workflow for dental implant placement.
- To evaluate the potential of this technique in reducing treatment time, patient visits, and costs.
- To assess the impact on esthetic outcomes and preservation of the peri-implant mucosal barrier.
Main Methods:
- Utilized digital technologies for fabricating surgical guides for precise implant positioning.
- Employed customized hybrid zirconia abutments and all-ceramic lithium disilicate crowns.
- Implemented immediate placement of the definitive abutment and crown following implant surgery.
Main Results:
- The described technique facilitates accurate 3D implant placement.
- Immediate provisionalization with a definitive customized abutment and crown was achieved.
- The approach has the potential to streamline the overall implant treatment process.
Conclusions:
- This integrated digital approach offers a promising method for dental implant rehabilitation.
- It may reduce treatment duration and costs while enhancing esthetic results.
- Minimizing abutment manipulations could positively impact the peri-implant mucosal health and reduce MBL.
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