Clinical, Cosmetic and Investigational Dentistry (Feb 2020)
Lithium Disilicate Crown, Zirconia Hybrid Abutment and Platform Switching to Improve the Esthetics in Anterior Region: A Case Report
Abstract
Dario Adolfi,1 João Paulo Mendes Tribst,1 Maurício Adolfi,2 Amanda Maria de Oliveira Dal Piva,1 Guilherme de Siqueira Ferreira Anzaloni Saavedra,1 Marco Antonio Bottino1 1Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp), Institute of Science and Technology, São José dos Campos, São Paulo, Brazil; 2Private Practice, São Paulo, BrazilCorrespondence: João Paulo Mendes Tribst Eng. Francisco José Longo, nº 777. Jardim São Dimas, São José dos Campos 12245-000, SP, BrazilTel +55 12 3947 9032Fax +55 12 3947 9010Email [email protected]: The hybrid abutment emerged as an alternative to maintain a stable and favorable volume of peri-implant tissue; it is composed of a mesostructure in ceramic and a metallic connection, which can be machined according to the peri-implant emergence profile. This case report presented the clinical steps for a dental implant with immediate provisional restoration, followed by the installation of implant-supported all-ceramic crowns with zirconia abutment and platform switching. A 40-year-old male patient was rehabilitated with an implant-supported ceramic crown in the region of element 11 and a ceramic veneer was cemented on the upper right central incisor. To do so, an atraumatic extraction of the upper left central incisor was performed followed by implant placement and immediate loading. In this case, a zirconia hybrid abutment was used with a metallic link in the cervical region with a concave platform switching base. This association of clinical steps enabled improving the aesthetics in the anterior dental region.Keywords: dental implants, soft tissue, esthetic, adhesive
