Optimizing multiple individual anterior implant restorations with a new generation implant-abutment system;...

A 53-year-old male with a history of initial oral facial trauma causing the loss of three maxillary incisors, multiple failures of tooth-borne fixed prosthetic reconstructions, and a resultant condition of structural failure of abutment cuspids and lateral incisor was to be retreated. The case contained numerous anatomic and dimensional constraints. The patient's desire to achieve a long-term, dependable prosthetic reconstruction prompted professional consideration of incorporating implants to lend structural support in the edentulous area. An extensive review of current implant-abutment options and their single-tooth implant replacement design and treatment rationales was conducted. The IMZ Generation III (IMZTwinPlus) implant system, a nonhex system, was chosen for treatment of the case of report to optimize mechanics, biomechanics, and esthetics for multiple individual-tooth implant replacement.