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The use of definitive implant abutments for the fabrication of provisional crowns: a case series

Identifieur interne : 003996 ( Ncbi/Merge ); précédent : 003995; suivant : 003997

The use of definitive implant abutments for the fabrication of provisional crowns: a case series

Auteurs : Hakan Bilhan [Turquie] ; Onur Geckili [Turquie] ; Emre Mumcu [Turquie]

Source :

Journal of Periodontal & Implant Science [ 2093-2278 ] ; 2011.

RBID : PMC:3213236

Abstract

Purpose

The anterior region is a challenge for most clinicians to achieve optimal esthetics with dental implants. The provisional crown is a key factor in the success of obtaining pink esthetics around restorations with single implants, by soft tissue and inter-proximal papilla shaping. Provisional abutments bring additional costs and make the treatment more expensive. Since one of the aims of the clinician is to reduce costs and find more economic ways to raise patient satisfaction, this paper describes a practical method for chair-side fabrication of non-occlusal loaded provisional crowns used by the authors for several years successfully.

Methods

Twenty two patients (9 males, 13 females; mean age, 36,72 years) with one missing anterior tooth were treated by using the presented method. Metal definitive abutments instead of provisional abutments were used and provisional crowns were fabricated on the definitive abutments for all of the patients. The marginal fit was finished on a laboratory analogue and temporarily cemented to the abutments. The marginal adaptation of the crowns was evaluated radiographically.

Results

The patients were all satisfied with the final appearance and no complications occurred until the implants were loaded with permanent restorations.

Conclusions

The use of the definitive abutments for provisional crowns instead of provisional abutments reduces the costs and the same results can be obtained.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3213236

DOI: 10.5051/jpis.2011.41.5.248
PubMed: 22087416
PubMed Central: 3213236

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<author><name sortKey="Bilhan, Hakan" sort="Bilhan, Hakan" uniqKey="Bilhan H" first="Hakan" last="Bilhan">Hakan Bilhan</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Prosthodontics, Istanbul University Faculty of Dentistry, Istanbul, Turkey.</nlm:aff>
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<author><name sortKey="Geckili, Onur" sort="Geckili, Onur" uniqKey="Geckili O" first="Onur" last="Geckili">Onur Geckili</name>
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<author><name sortKey="Mumcu, Emre" sort="Mumcu, Emre" uniqKey="Mumcu E" first="Emre" last="Mumcu">Emre Mumcu</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>The anterior region is a challenge for most clinicians to achieve optimal esthetics with dental implants. The provisional crown is a key factor in the success of obtaining pink esthetics around restorations with single implants, by soft tissue and inter-proximal papilla shaping. Provisional abutments bring additional costs and make the treatment more expensive. Since one of the aims of the clinician is to reduce costs and find more economic ways to raise patient satisfaction, this paper describes a practical method for chair-side fabrication of non-occlusal loaded provisional crowns used by the authors for several years successfully.</p>
</sec>
<sec><title>Methods</title>
<p>Twenty two patients (9 males, 13 females; mean age, 36,72 years) with one missing anterior tooth were treated by using the presented method. Metal definitive abutments instead of provisional abutments were used and provisional crowns were fabricated on the definitive abutments for all of the patients. The marginal fit was finished on a laboratory analogue and temporarily cemented to the abutments. The marginal adaptation of the crowns was evaluated radiographically.</p>
</sec>
<sec><title>Results</title>
<p>The patients were all satisfied with the final appearance and no complications occurred until the implants were loaded with permanent restorations.</p>
</sec>
<sec><title>Conclusions</title>
<p>The use of the definitive abutments for provisional crowns instead of provisional abutments reduces the costs and the same results can be obtained.</p>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">J Periodontal Implant Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">J Periodontal Implant Sci</journal-id>
<journal-id journal-id-type="publisher-id">JPIS</journal-id>
<journal-title-group><journal-title>Journal of Periodontal & Implant Science</journal-title>
</journal-title-group>
<issn pub-type="ppub">2093-2278</issn>
<issn pub-type="epub">2093-2286</issn>
<publisher><publisher-name>Korean Academy of Periodontology</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22087416</article-id>
<article-id pub-id-type="pmc">3213236</article-id>
<article-id pub-id-type="doi">10.5051/jpis.2011.41.5.248</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>The use of definitive implant abutments for the fabrication of provisional crowns: a case series</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Bilhan</surname>
<given-names>Hakan</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Geckili</surname>
<given-names>Onur</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mumcu</surname>
<given-names>Emre</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
</contrib-group>
<aff id="A1">Department of Prosthodontics, Istanbul University Faculty of Dentistry, Istanbul, Turkey.</aff>
<author-notes><corresp>Correspondence: Onur Geckili. Department of Prosthodontics, Istanbul University Faculty of Dentistry, 34390 Capa, Istanbul, Turkey. <email>geckili@istanbul.edu.tr</email>
, Tel: +90-212-414 20 20, Fax: +90-212-525 35 85</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>10</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="epub"><day>31</day>
<month>10</month>
<year>2011</year>
</pub-date>
<volume>41</volume>
<issue>5</issue>
<fpage>248</fpage>
<lpage>252</lpage>
<history><date date-type="received"><day>14</day>
<month>6</month>
<year>2011</year>
</date>
<date date-type="accepted"><day>21</day>
<month>9</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2011 Korean Academy of Periodontology</copyright-statement>
<copyright-year>2011</copyright-year>
<license license-type="open-access"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
).</license-p>
</license>
</permissions>
<abstract><sec><title>Purpose</title>
<p>The anterior region is a challenge for most clinicians to achieve optimal esthetics with dental implants. The provisional crown is a key factor in the success of obtaining pink esthetics around restorations with single implants, by soft tissue and inter-proximal papilla shaping. Provisional abutments bring additional costs and make the treatment more expensive. Since one of the aims of the clinician is to reduce costs and find more economic ways to raise patient satisfaction, this paper describes a practical method for chair-side fabrication of non-occlusal loaded provisional crowns used by the authors for several years successfully.</p>
</sec>
<sec><title>Methods</title>
<p>Twenty two patients (9 males, 13 females; mean age, 36,72 years) with one missing anterior tooth were treated by using the presented method. Metal definitive abutments instead of provisional abutments were used and provisional crowns were fabricated on the definitive abutments for all of the patients. The marginal fit was finished on a laboratory analogue and temporarily cemented to the abutments. The marginal adaptation of the crowns was evaluated radiographically.</p>
</sec>
<sec><title>Results</title>
<p>The patients were all satisfied with the final appearance and no complications occurred until the implants were loaded with permanent restorations.</p>
</sec>
<sec><title>Conclusions</title>
<p>The use of the definitive abutments for provisional crowns instead of provisional abutments reduces the costs and the same results can be obtained.</p>
</sec>
</abstract>
<kwd-group><kwd>Dental abutments</kwd>
<kwd>Dental implants</kwd>
<kwd>Dental marginal adaptation</kwd>
<kwd>Dental prosthesis</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="F1" position="float"><label>Figure 1</label>
<caption><p>Intraoral view of the mounted abutment.</p>
</caption>
<graphic xlink:href="jpis-41-248-g001"></graphic>
</fig>
<fig id="F2" position="float"><label>Figure 2</label>
<caption><p>Intra-oral view of the artificial maxillary lateral tooth positioned in the edentulous place by attaching to the neighboring teeth with visible-light-cured dental restorative composite.</p>
</caption>
<graphic xlink:href="jpis-41-248-g002"></graphic>
</fig>
<fig id="F3" position="float"><label>Figure 3</label>
<caption><p>Three-dimensionally correct implant placement.</p>
</caption>
<graphic xlink:href="jpis-41-248-g003"></graphic>
</fig>
<fig id="F4" position="float"><label>Figure 4</label>
<caption><p>Intraoral view of the provisional crown.</p>
</caption>
<graphic xlink:href="jpis-41-248-g004"></graphic>
</fig>
<fig id="F5" position="float"><label>Figure 5</label>
<caption><p>The marginal fit was finished on a laboratory analogue.</p>
</caption>
<graphic xlink:href="jpis-41-248-g005"></graphic>
</fig>
<fig id="F6" position="float"><label>Figure 6</label>
<caption><p>The final result and marginal fit verification on a periapical radiograph.</p>
</caption>
<graphic xlink:href="jpis-41-248-g006"></graphic>
</fig>
<fig id="F7" position="float"><label>Figure 7</label>
<caption><p>Gingival reshaping by composite addition to the marginal part of the acrylic crown.</p>
</caption>
<graphic xlink:href="jpis-41-248-g007"></graphic>
</fig>
<fig id="F8" position="float"><label>Figure 8</label>
<caption><p>(A) The final view of the cemented restoration of the maxillary central incisor of one of the patients. (B) The final view of the cemented restoration of the maxillary lateral incisor of one of the patients. (C) The final view of the cemented restoration of maxillary canine of one of the patients.</p>
</caption>
<graphic xlink:href="jpis-41-248-g008"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations><list><country><li>Turquie</li>
</country>
</list>
<tree><country name="Turquie"><noRegion><name sortKey="Bilhan, Hakan" sort="Bilhan, Hakan" uniqKey="Bilhan H" first="Hakan" last="Bilhan">Hakan Bilhan</name>
</noRegion>
<name sortKey="Geckili, Onur" sort="Geckili, Onur" uniqKey="Geckili O" first="Onur" last="Geckili">Onur Geckili</name>
<name sortKey="Mumcu, Emre" sort="Mumcu, Emre" uniqKey="Mumcu E" first="Emre" last="Mumcu">Emre Mumcu</name>
</country>
</tree>
</affiliations>
</record>

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The use of definitive implant abutments for the fabrication of provisional crowns: a case series

The use of definitive implant abutments for the fabrication of provisional crowns: a case series

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