Implant crown design help

[RileyS]

This implant was placed way lingual and leaning towards lingual. tooth number 19 to be crowned on there. Wondering do I overlap that ridge to help the emergence profile line up with 20 and 18? Or do we...?Dr. usually likes to keep the stock abutments and use them but it will be left as a sliver so we'll try to push back buccally with custom.
Any help will be great. Especially from Sideshow Richard.

 

[rkm rdt]

 

[rkm rdt]

ridgelap screw retained - custom abutment only.

 

[ParkwayDental]

I am with the Canadian ↑

 

[sidesh0wb0b]

def ridgelap, as hygienic as possible since more than likely the patient is getting a crown because they don't clean their teethies well to begin with.
screw retained would probably be ideal since its a lower and doesn't look to have a ton of vertical. crazy Canadian was right for a change!

 

[rkm rdt]

American surgeon?

 

[RileyS]

Copy That Over

 

[CoolHandLuke]

you going to try to angle the channel?

 

[sidesh0wb0b]

you going to try to angle the channel?

you cant ask serious questions if you refuse to answer them!

 

[RileyS]

you going to try to angle the channel?

I'm going to try and keep my head from exploding over the next few days

 

[cadfan]

direct screw retained crown on a ti interface match the gingiva 2 mm buccal ( depended on hight and thickness ) matching the gingiva up to two millimeters is no problem done thousand times so maybe no ridge lap necessary. Some ti interface are on one side shorter so place this side palatinal.And some glasses for the surgery.

 

[rkm rdt]

Sorry but I disagree.

You will need to cast a ucla on this case.

You want a very low profile so the toungue will not feel the over contour that a ti base would create.

There will be no need to angulate the channel because it will be very short however the dr still needs to add composite to the screw hole.

It sucks but you have no choice but to make a pfm here with a metal lingual.

 

[cadfan]

Sorry but I disagree.

You will need to cast a ucla on this case.

You want a very low profile so the toungue will not feel the over contour that a ti base would create.

There will be no need to angulate the channel because it will be very short however the dr still needs to add composite to the screw hole.

It sucks but you have no choice but to make a pfm here with a metal lingual.

No problem thats the fun doing cases like this, you can do everything digital without touching the model and maybe at the end its different but first ill try. Maybe an individual ti abutment which can be short as the screw on the palatinal side and a cemented zircon crown on it or with a screw channel cemented on the indiv abutment.same same but different

 

[CoolHandLuke]

possibly not. this is an old case, and these are straight off the mill.




maybe tiny ridgelap but not excessive.

 

[rkm rdt]

I'd prefer to push the tissue as much as possible by starting the porcelain much closer to your base.

Not my problem if they have to warm up the laser on this one.

 

[KentPWalton]

Bury it and make it a 3unit bridge. Best you can do for that one!

 

[rkm rdt]

You willing to pay the legal fees?

 

[sidesh0wb0b]

You willing to pay the legal fees?

legal fees for what?
putting it to sleep isn't a bad idea. though I am always a fan of leaving natural tooth alone if possible.
bridging over top would keep the bone happy and still fill the space (also cost the patient more)

 

[rkm rdt]

The patient is informed that an implant will avoid prepping the adjacent teeth . After going through the surgery and waiting time only to find out I'm getting a bridge because of poor placement, I'd be calling my lawyer.

 

[RileyS]

The patient is informed that an implant will avoid prepping the adjacent teeth . After going through the surgery and waiting time only to find out I'm getting a bridge because of poor placement, I'd be calling my lawyer.

How very American of you