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VOLUME 58 , ISSUE 1 ( January-March, 2024 ) > List of Articles


Esthetic Rehabilitation of a Post-trauma Patient Using Anterior Block Graft and Screw-retained Prosthesis over Ceramic-reinforced Polyetheretherketone Abutment: A Case Report

Gunjan Pruthi

Keywords : Anterior tooth trauma, Case Report, Dental implant, Esthetics, Polyetheretherketone, Implant abutment, Visual analog scale

Citation Information : Pruthi G. Esthetic Rehabilitation of a Post-trauma Patient Using Anterior Block Graft and Screw-retained Prosthesis over Ceramic-reinforced Polyetheretherketone Abutment: A Case Report. J Postgrad Med Edu Res 2024; 58 (1):27-32.

DOI: 10.5005/jp-journals-10028-1650

License: CC BY-NC 4.0

Published Online: 06-02-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Aim and background: This case report describes the comprehensive and conservative rehabilitation of a post-trauma patient with advanced techniques and materials along with laboratory steps of fabrication of a provisional crown. Case description: A 19-year-old female reported a history of avulsion of her right central incisor during childhood and wanted a cosmetic replacement with a fixed tooth. A block graft was harvested to augment the deficient bone, followed by the placement of a narrow-diameter implant. Severe deep bite, implant with slight palatal with emergence, unfavorable gingival contour, and high esthetic demand were noticed on prosthodontic referral. Innovative modification in interim denture restored esthetics during the healing phase. Immediate provisional crown after modification of the gingival zenith with laser technology helped in the prosthetic and psychological rehabilitation of the patient. A customized hybrid abutment fabricated in ceramic reinforced polyetheretherketone (PEEK) [high-performance polymer (BioHPP)] and veneering with highly translucent composite provided life-like esthetics to the final restoration, which is maintained up to the 2-year follow-up. Conclusion: A good prosthetic outcome satisfied the esthetic demand of the patient and helped in restoring her self-esteem. Clinical significance: Customized titanium or zirconia abutments have been used to manage labially angulated implants, but rehabilitation of an implant with a palatal emergence implant has been less documented. Satisfactory results suggest that ceramic-reinforced PEEK can be considered to restore the esthetics of patients requiring implant-supported crowns in similar complex clinical situations.

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