11/10/2023
Disclaimer- I was asleep at the wheel when ordering my abutment. And yes this Pt does have some other dental needs.
But the a front tooth needs work sometimes the patient wants to get a front tooth. Pt presents with crown in hand ( and a post). Root was fractured- time to think of alternatives. Pt did not want to do the same with the other teeth with issues.
Work up done, Fractured tooth removed and a Straumann 3.3 BLT placed. Maryland bridge milled out of TeticCAD to provisionalize.
Uneventful healing, soft tissue maintained with the Ovate Pontic, Time to uncover and scan for an Atlantis Abutment. Abutment designed , core file received, and when the custom abutment showed up in the office I realized my mistake- I thought I asked for the Gold coating. My normal Anterior solution ips e.Max would have left an esthetic challenge. The LT could have helped block the cold titanium color in the body but it would also deliver an unnatural incisal edge. Lab work could correct but why spend time doing this when there are block with the lab work done for you.
Zircad Prime designed with the help of the Digital Anterior Overlay from the core file fits perfect. It masks the titanium, we contour and texture to " blend" the crown to the neighbors. Ivocolor used to help you fool the observers eye.
