Esthetic rehabilitation of the anterior region using customized angulated abutments and a morse taper friction-fit system: a clinical case report
DOI:
https://doi.org/10.62452/ncgxg846Keywords:
Dental implants, anterior sector, morse taper, customized abutments, dental esthetics, frictional connection, oral rehabilitation, emergence profileAbstract
Dental implant treatment in the anterior sector represents a critical challenge when severe bone resorption and high esthetic demands converge. The objective of this report is to describe a comprehensive rehabilitative solution in a patient with partial anterior edentulism and the loss of the four maxillary incisors. Given the marked bone atrophy, a guided bone regeneration (GBR) protocol was performed, followed by the placement of two implants in the lateral incisor positions. To address the resulting anatomical limitations and angulation discrepancies, a frictional Morse Taper connection system was employed. The core of the treatment involved the use of customized angled abutments, which allowed for the compensation of inclinations up to 20°, optimizing the insertion axis without compromising the mechanical integrity of the connection. This prosthetic customization was fundamental in designing a biological emergence profile and facilitating the integration of ovate pontics, achieving a harmonious gingival architecture. The results demonstrate that the combination of a high-stability (frictional) connection with versatile prosthetic components allows for an imperceptible esthetic transition and predictable long-term functionality. This approach concludes that the use of customized angled abutments in Morse Taper systems is an effective alternative for resolving high-complexity cases in the esthetic zone, allowing the clinician to adapt the prosthesis to the patient’s anatomy and not vice versa.
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