Abutment fracture in a bridge

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Fig. 1a: Casts placed in the articulator; a) right side, restoration not in place; b) left side, restoration not in place; c) anterior view, restoration in place; d) left side with restoration in place.

Fig. 1b: Casts placed in the articulator; a) right side, restoration not in place; b) left side, restoration not in place; c) anterior view, restoration in place; d) left side with restoration in place.

Fig. 1c: Casts placed in the articulator; a) right side, restoration not in place; b) left side, restoration not in place; c) anterior view, restoration in place; d) left side with restoration in place.

Fig. 1d: Casts placed in the articulator; a) right side, restoration not in place; b) left side, restoration not in place; c) anterior view, restoration in place; d) left side with restoration in place.

Fig. 2a: Restauration after initial treatment, before the accident; a) anterior view; b) intraoral view; c) implants with abutments and teeth #13 and #23 with gold copings in place; d) panoramic radiograph.

Fig. 2b: Restauration after initial treatment, before the accident; a) anterior view; b) intraoral view; c) implants with abutments and teeth #13 and #23 with gold copings in place; d) panoramic radiograph.

Fig. 2c: Restauration after initial treatment, before the accident; a) anterior view; b) intraoral view; c) implants with abutments and teeth #13 and #23 with gold copings in place; d) panoramic radiograph.

Fig. 2d: Restauration after initial treatment, before the accident; a) anterior view; b) intraoral view; c) implants with abutments and teeth #13 and #23 with gold copings in place; d) panoramic radiograph.

Fig. 3b: Impression with the fabricated cast.

Fig. 4a: Cast articulated using the maxilla restoration as a guide.

Fig. 4b: Provisional FPD in place.

Fig. 5a: Surgical stent.

Fig. 5b: Determination of the axial direction.

Fig. 5c: Drill sleeve was placed into the surgical stent.

Fig. 6: Panoramic radiograph obtained after implant insertion at position #6.

Fig. 7: Impression post in the surgical guide.

Fig. 8a: Transfer of the implant position to mounted cast.

Fig. 8b: The implant analog in cast.

Fig. 9a: a) Fabricated customised abutment; b) try-in of the abutment in the restoration.

Fig. 9b: Try-in of the abutment in the restoration.