Pretty Fly For A White Guy: 4.2 Zirconia Abutment Case

This is a cool finished case that took quite a bit of work!!!  #10 fractured just about 1mm above bone.  Too narrow to do CEREC guide, but still took a CEREC scan to assess angulation.

Implant placed after osteotomy.  Patient had a very high smile line so had to make sure that the placement was perfect.

Titanium abutment and CEREC “temporary” as esthetics and tissue health were super important.

Patient return 4 months later.  Accessed the screw hole and converted to a screw retained temp.

Scan Posts are way easier to use than the Ti-bases. Just took a shot showing both to display how well you can see the indexing with the Scan Post

Took the gingival mask and then the images of the Scan Post in CEREC 4.2

Remember to add the catalog for the gingival mask and also to select Multi Layer if you are going cemented.

I figured out the hard way that its just easier to take the buccal bite without the scan post in place, but if you forget you can always remove it in buccal bite tools.

The patient was nearly end to end on #10 so the articulation feature was particularly helpful in making sure that we had no interferences.

I especially love the Smile Design function when planning the case pre implant as well as doing the final restoration.

Final design.   Emax crown milled chair side and sent to the lab for cutback and to sinter the Zirconia abutment.

Implant temp replaced.

Try in a torqued down Zirc abutment.  I will say that I like the implant direct abutment screws better than the Sirona ones.  You just really need to make sure that the 1.25mm hex tool really engages the screw hole as its easy to strip.

Final, in these images the tooth really looks dark, but in her mouth you can’t tell.

Final progression.  I think we got a decent result.