Use of Angulated Abutments and Splinting in Implant Restorations



Emma, C Fontenot

Emmaline, N Schafer

Jeremy, J Schwartz


Emma C. Fontenot, Emmaline N. Schafer, Jeremy J. Schwartz
Nicole, L Deakins, Vincent, C Mayher
Department of Preventive & Restorative Sciences, University of Pennsylvania School of Dental Medicine

Introduction

Case Study Abstract: Dental implants should be placed parallel to the adjacent teeth. This is, however, not always possible and results in challenges when restoring angulated implants in proximity to existing dentition. Clinicians must consider the forces, esthetics, space, and impression technique when restoring these implants. Angulated abutments are helpful when restoring these implants, but have been associated with increased stress on the implants. Splinting adjacent implants has been shown to distribute the stress placed on angulated implants. This research project presents two cases in which splinting and angulated abutments have been successfully used to restore implants with inadequate parallelism.

Methods

Impression copings obtained, impressions taken, verification jig used, custom abutments and PFM metal try-in, cementation/delivery.

Results

Implant supported FDP upon angled implants delivered.

Conclusion

Angulated abutments are useful when implants are not parallel and splinting implants increases long-term prognosis.