This clinical case presents a comprehensive prosthetic rehabilitation involving two adjacent premolars—one restored with a Bredent (Sky Copa) dental implant and the other with a conventional full-coverage crown. The treatment aimed to achieve functional harmony and esthetic integration within the posterior segment. A bilayered zirconia system was selected for both restorations to ensure optimal strength, precision, and translucency, providing a natural match to the surrounding dentition. The prosthetic workflow emphasized precise occlusal calibration, marginal adaptation, and soft-tissue contouring around the implant emergence profile. The final outcome demonstrated successful biomechanical performance and esthetic harmony between the implant-supported crown and the natural tooth restoration, confirming bilayered zirconia as a reliable restorative material in posterior prosthetic solutions.
Showing Old PFM crowns with Bad endo treatment and old amalgam core lead to Vertical Root Fracture and Necessity for Extraction and Implant Placement
The initial and final drills are used to ensure the correct axis and depth are achieved before and after insertion
Limited parapapillary flap design used in anterior implant surgery. This type of flap is a limited flap design where incisions are made to leave the interdental papillae attached to the bone
Showing Healed implant site soft tissue after 6 months, customised healing abutment is placed with limited flap surgery
The EBC (Emergence Profile and Biologic Contour) represents the soft tissue–restoration interface that controls how gingiva adapts, seals, and shapes around a crown or implant.
Produces Stable soft tissue, ideal esthetics, and long-term biological health.
Video Of Healed Site Before Impression
Open Tray Impression Technique
Temporization Phase and Try in for Final Crown
Post Drilling and Cleaning of Canal
Fiber Post Cementation Steps
Build-Up of Core incrementally with Composites close to Modulus of Elasticity of that Fiber post
Design Of Final Prep
Final Full Coverage Bilayered Zirconia Crown
Final Crown Placement
Final Crown Supported Implant Restoration
Filling in Screw-hole with esthetic Composite Restoration
Final Result.
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