Ali-Reza Ketabi, Sandra Ketabi, Hans-Christoph Lauer and Silvia Brandt
Statement of problem: The use of osseointegrated, dental implants as a complement and extension of the conventional dental treatment spectrum is becoming increasingly important. Apart from the purely functional side of the implant restorations aesthetic aspects are very important for the patients. The design of the emergence plays an important role. Prefabricated abutments have a rotationally symmetrical basic shape and do not correspond to the passage area of the shape of natural teeth. Cases and methods: In this case report, the supply of two patients with individual abutments by two different methods (CAD-designed and CAMfabricated and a prefabricated zirconium abutment, which was individualized with ceramics in the cervical area) under consideration of functional, aesthetic and hygienic aspects is presented. Discussion: With both methods, optimal treatment results. With the CAD-/ CAM-method (e.g. Atlantis VAD/Virtual Abutment Design Software) abutments are designed starting from the ideal shape of the individual crown. This saves time and therefore costs. Conclusion: Through the case presentation is shown that simplified and accelerated by means of CAD/CAM-fabricated abutments, prosthetic workflows without compromising the aesthetics and function. Thus, a course - an aesthetic result was achieved.