Adi
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That paints quite a picture.Its not hygenic for the patient either. Colonies of gross stuff are going to fornicate under there...
The patients pay a lot of money for surgical an so on a molar like this must have and individual abutment with a larger circumference ill make them with zi hybrid and push the gingiva so the diameter is not 5 mm its more 7-8 with a real profile 0.5 subgingival so you can clean the cementation an you dont have concave part witch cannot be cleaned by doc or patient View attachment 15916 View attachment 15917
best of luck Adi. we wish you well. its nice to see someone who is able to take new information and use it instead of puff their chest.Thanks to you all for your time and for sharing information.
I got the picture now, next time I'll play right.
There are times when you have no choice but to overlap the soft tissue to get the correct esthetics.
An option is to add a second implant mesial to the existing one. What we do is a 2 part/screw retained restoration. You make the abutment, then the PFM with an access occlusal hole. When the clinician cements the two at chairside, he can then unscrew the entire "stack" and polish off the excess cement. It still is a hygienic issue for the patient .but you at least eliminate the cement problem'. Waterpik the sucker on a
daily basis.