Challenging maxillary anterior implant-supported restorations: Creating predictable outcomes with zirconia

Abstract

The restoration of form and function with dental implants often presents challenges to the most experienced clinician. Each case category has requirements, whether it is a single tooth or a complete arch in need of restoration. The anterior zone, especially the maxilla, can present issues beyond our traditional knowledge of tooth-supported restorations. The high lip line accompanied by irregular bone loss patterns has challenged the practice of implant dentistry since the inception of reliable osseointegrated implants. In the ensuing years, the advancement of implant technology along with regenerative technologies has provided the backbone of improving treatment outcomes. Developments such as 3D radiography, advanced treatment planning software and high-performance ceramics have opened new possibilities in treatment objectives and greater understanding of the requirements for successful management of the complex anterior aesthetic zone. This chapter will explore a series of cases from the single tooth to multi-unit restorations in both the maxilla and mandibular zones. Explanation of the differential treatment choices and subsequent restorative results will be presented along with pertinent supporting evidence.