This 24 year-old female came to see me at my Burbank office. She already had an implant, a custom abutment and a temporary crown on her lower front tooth. She was ready to be fitted with the real crown.
The temporary on the dental implant custom abutment did not look very good at all. Neither the patient, nor I really liked it. Besides being dark and black at the gum line, it lacked other the right shape of gum. It looked to "set back" towards her tongue.
The tooth was further complicated by the implant being about 0.3mm to 0.5mm too large. Yes…that tiny amount makes a HUGE difference in the final result.
I reshaped her temp and "trained" her gum to fill in between the teeth and make them the same length. This took a few weeks for this to occur and is done by modifying the temporary…NO surgery is done.
Below is the photo series of the dental implant restoration using her existing custom abutment.
This is how she came to me with her existing temp in place:
Here is the abutment after I reshaped it:
The final porcelain crown and corrected gum line appearance:
I was able to help her control the cost of the restoration by using the existing titanium metal custom abutment rather than starting from scratch. A narrower implant and abutment would have made this much easier.
Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow of the American Academy of Implant Dentistry