Submucosal zirconia implant prosthesis fabricated with CAD/CAM

Jae-Seung Chang; Sunjai Kim

doi:10.4047/jkap.2014.52.4.352

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Chang and Kim: Submucosal zirconia implant prosthesis fabricated with CAD/CAM

Case Report

J Korean Acad Prosthodont 2014;52(4):352-358.

Published online: 9 February 2014

DOI: https://doi.org/10.4047/jkap.2014.52.4.352

Submucosal zirconia implant prosthesis fabricated with CAD/CAM

Jae-Seung Chang¹, Sunjai Kim^2,^∗

¹Department of Dentistry, Yong-In Severance Hospital, Seoul, Republic of Korea

²Department of Prosthodontics, Gangnam Severance Dental Hospital, College of Dentistry, Yonsei University, Seoul, Republic of Korea

^∗Corresponding Author: Sunjai Kim Department of Prosthodontics, College of Dentistry, Yonsei University, Gangnam Severance Dental Hospital, 211 Eonju-ro, Gangnam-gu, Seoul, 135-720, Republic of Korea +82 2 2019 3568: e-mail, sunjai@yuhs.ac

^∗ This study was supported by a faculty research grant of Yonsei University College of Dentistry for 6-2011-0056.

Received 11 September 201415 October 2014 Accepted 17 October 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

They have been recently introduced many aesthetic implant prosthesis using with zirconia and CAD/CAM. However, there are many limitations in their gingival and occlusal region. In this case, submucosal zirconia implant prosthesis were fabricated with CAD/CAM system. The connection of these screw cement retained prosthesis and titanium abutment was designed to 1mm above the fixture. The clinical results were satisfactory on the aesthetics and function.

Keywords: CAD/CAM, Submucosal zirconia implant prosthesis, Screw cement retained prosthesis

REFERENCES

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Fig. 1.

Schematic diagram of submucosal zirconia implant prosthesis. (A) Internal connection fixture, (B) 1 mm cuff titanium abutment, (C) Screw cement retained prosthesis, (D) Prosthesis margin.

Fig. 2.

Clinical pictures of case 1. (A) Intraoral view after implant surgery, (B) Pick-up impression coping, (C) Scanning of 1 mm cuff milled titanium abutment, (D) Computer aided design of submucosal prosthesis, (E) Submucosal zirconia implant prosthesis bonded to titanium abutment, (F) Definitive prosthesis.

Fig. 3.

Clinical pictures of case 2. (A) Occlusal view after implant surgery, (B) Scanning of milled titanium abutment, (C) Computer aided design of prosthesis, (D) Definitive prosthesis.

Fig. 4.

Clinical pictures of case 3. (A) Frontal view of first visit, (B) Occlusal view after maxillary teeth extraction, (C) Occlusal view after mandibular teeth extraction, (D) SurgiGuide with SimPlant program, (E) Occlusal view after maxillary implants surgery, (F) Occlusal view after mandibular implants surgery, (G) Final impression of maxillary implants, (H) Final impression of mandibular implants, (I) Scanning of milled titanium abutment, (J) Submucosal zirconia implant prosthesis bonded to titanium abutment, (K) Right view of occlusal pattern, (L) Left view of occlusal pattern, (M) Occlusal view of maxillary definitive restoration, (N) Occlusal view of mandibular definitive restoration, (O) Frontal view of definitive restoration, (P) Panoramic view of definitive restoration.

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