The case was published in 1988 in the journal Archivos de Odonto Estomatologia being the first case of individual restoration ad modum Branemark in the spanish literature.

After 17 problem free years the patient came to our practice with a fracture of the ceramic veenering material.

New impresions were taken.

We decide to replace the crown utilizing the technology available today ,by means of a zirconia abutment and a procera alumina allceramic crown.

The new restauration in place.

Xray sequence since 1987. Observe the difference between 2005 and 2007.

Probably the new restauration was better accepted by the hard and soft tissues is because the improvement in the mechanization of todays components .The micro-gap between the implant head and the abutment is smaller ,and there is also a considerable reduction of micromovements due to the screw fixing at 35 N/cm.

Frontal and Occlusal views showing the lack of space in-between the teeth.

Radiological Guide.

Computerized plannig with NobelClinician.

Surgical Guide.

Miniflaps before implant placement.

Drilling sequence and specific screw tap for Nactive implants.

Implants placement.

Implant in place.

Pre-fabricated zirconia abutments placed the same day that surgery was preformed.

Case finished.

Old gold acrylic three unit bridge to be replaced.

Refinished of the abutments.

Flapless drilling.

Implant placement NActive Ø 3.5 x 11.5 mm.

Implant in place.

1ª provisionalization without loading the implant.

2ª provisionalization 3 months later. Individualizing crowns and loading the implant.

2 months after second provisionalization, impresions were taked.

Zirconia abutment and alumina crowns ready to be placed.

Final placement.

Helpless upper left central incisor.

Atraumatic extraction and immediate placement.

Post-insertion X-ray showing the suitability of the case due the amount of bucal plate present.

Temporary acrylic crown.

Four months later final impressions.

Zirconia abutment try in.

Final restoration in place