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Special Issues
July/August 2017
Volume 38, Issue 2

Optimizing Implant Esthetics With Resin Cements

Joseph S. Kim, DDS, JD

Implants have become a routine part of many dental practices, yet the single maxillary central incisor continues to challenge clinicians of all experience levels. Unlike most posterior sites, esthetic demand is high in this area due to its prominent visibility—from the moment the central incisor is removed up to the delivery of the final prosthetics. Symmetry between the implant-supported restoration and the contralateral central incisor is difficult to achieve due to the numerous esthetic factors that must be addressed. A commonly overlooked factor is the cement that joins the custom hybrid zirconia abutment mesostructure to the titanium base, as well as the cement that connects the final crown to the abutment. The following case addresses these issues using resin cements from Bisco, Inc. (

Key Takeaways

• Optimal gingival contours are achieved through proper 3-dimensional implant placement and provisionalization.

• Cements can play a key role in implant esthetics, and the opaque resin cement (TheraCem®, Bisco) used in this case helped prevent darkness from showing through zirconia.

• Using Z-Prime™ Plus primer (Bisco) and a resin cement such as Duo-Link Universal™ (Bisco) allows optimal retention of zirconia materials.

• Subgingival cement can be minimized by an air gap in the abutment, minimal amounts of cement, and a gingival seal against the custom abutment.

About the Author

Joseph S. Kim, DDS, JD
Private Practice
Sedation and Implantology
Chicago, Illinois

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