Brett Hansen CDT
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This patient had a 3 unit bridge fabricated by another lab and another doctor. He did not like the bridge because he could feel the abutment margin on the lingual. The doctor is asking me to restore this using a UCLA abutment and a 3 unit screw retained zirconia bridge. The implant is a 3.0 Biohorizons tapered internal implant. If I try and cast a UCLA abutment for this case, I think I will be right back in same situation as the old bridge. The lingual of the abutment margin would be right at the crest of the tissue. I would also have to design the lingual shoulder of the abutment with enough width so the zirconia would have the required thickness. My plan is to suggest that we restore this case by casting a framework to the abutment. The lingual of the restoration will be in metal so we can keep it as thin as possible. He asked that I see if any of my tech friends have any suggestions, so I am putting this out here for all of you. I will post more pics as this case progresses.