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Single tooth replacement using a one-piece screw-retained restoration
P Khayat1, N Nader, P Exbrayat
1Department of Restorative Dentistry, University of Washington, Seattle, USA.
Summary
This article reviews one-piece screw-retained restorations for single tooth implants, highlighting their ease of use and aesthetic benefits. It details the procedure from planning to final prosthesis placement for internal hex implants.
Area of Science:
- Dental Implantology
- Prosthodontics
- Restorative Dentistry
Background:
- Single tooth implant prostheses offer a durable solution for tooth replacement.
- Traditional cement-retained restorations can pose challenges in retrievability and maintenance.
- Internal hex implant systems are widely used in modern dental practice.
Observation:
- One-piece screw-retained restorations are presented as a preferred option for internal hex implants.
- The article outlines the comprehensive treatment workflow, including presurgical planning, surgical intervention, and final prosthesis delivery.
- Considerations such as screw access channel dimensions and precise torque control are evaluated.
Findings:
- Screw-retained restorations offer advantages including easy retrievability and the absence of cement, contributing to superior aesthetics.
- The technique is evaluated for its benefits and drawbacks in clinical application.
- Three clinical cases demonstrate the practical application of screw-retained single tooth restorations.
Implications:
- This review provides valuable insights for clinicians considering screw-retained restorations in single tooth implant cases.
- The findings support the use of one-piece screw-retained prostheses for predictable and aesthetically pleasing outcomes.
- Understanding the nuances of screw access channels and torque application is crucial for successful treatment.