Case Study 2
AESTHETIC COMMITMENT IN IMPLANTS DUE TO VESTIBULAR EMERGENCE
Patient with a partial upper prosthesis in the anterior sector cemented on angulated intermediate pillars. Patient attends to correct a severe aesthetic compromise caused by an uncomfortable emergence profile of implants in 12, 21 and 22, coupled with an insufficient gingival volume in the area, causing exposure of the pillars metal shoulders.
Option taken is the removal of the angled pillars and the construction of a new casted structure, direct to implant, using BHS30 screws to correct angulation and non-engaging BHS30 Castable Cylinders at 30 ° for the three implants.
a. Initial situation after removal of the structure with exposed profiles in 12 and 22.
b. Correction of emergence profile with direct to implant structure (I)
c. Correction of emergence profile with direct to implant structure (II)
d. Metal structure after ceramic layer with access holes on lingual side.
e. Placement of structure in mouth, with aesthetic success in the compromised positions.