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implants - international magazine of oral implantology No. 4, 2015

I case report Figs. 1a–d_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. _Introduction Implant treatment has evolved into a reliable modality for the replacement of missing teeth. Al- though rare, complications may occur, and some un- certainty surrounds the treatment of some of these events, especially when restorations are supported by acombinationofnaturalteethandimplants.1 Oftenthe fabrication of an entirely new restoration is necessary if one or several of the natural teeth need to be re- moved.Here, we report two cases in which a natural tooth abutment of a restoration supported by im- plants and natural teeth fractured. We describe the technique used to replace the fractured tooth with an implant, which allowed the re-use of the existing restoration. _Cases Case1 The patient was a 62-year-old male non-smoker in good general health, who was taking no medication andhadreceivedimplanttreatmentattheauthor’sof- fice six years before developing the complications de- scribed in this article. The mandible was restored with fixedcrownsandimplantretainedbridges.Themaxilla Abutment fracture in a bridge supported by natural teeth and implants Authors_Dr Gregory-George Zafiropoulos, Dr Giorgio Deli & Dr Rainer Valentin, Germany/Italy 14 I implants4_2015 Fig. 1a Fig. 1b Fig. 1c Fig. 1d

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