The 'One Customized Abutment One Time' concept - An innovative technique for optimizing immediacy and digital protocols

Int J Prosthodont. 2023 Oct 12;0(0). doi: 10.11607/ijp.8603. Online ahead of print.

Abstract

Disconnection and reconnection of abutments multiple times have known to affect the mucosal barrier around implants leading to marginal bone loss. This clinical report describes a novel technique that amalgamates the benefits of digital technologies encompassing the fabrication of surgical guides for implant placement, customized hybrid zirconia abutments and all ceramic lithium disilicate crowns prior to implant placement. A correct 3-dimensional implant positioning along with immediate placement of the definitive hybrid customized abutment and a lithium disilicate crown has the potential to reduce treatment time, visits and costs while delivering optimal esthetic outcomes.