Due to the success of osseointegration and improved surgical protocols, implant placement has become a routine practice in most of the dental clinics. The latest developments focus on the implant superstructure and prosthodontic phase. In digitally driven world, use of virtually designed and milled implant abutments is growing exponentially. More and more dentists are going in for customised milled abutments for predicable soft tissue contours and esthetics. The present article discusses about the restorative options for a few clinical situations where custom milled abutments seemed a best option.
D. Byrne, F. Houston, R. Cleary, and N. Claffey. The fit of cast and premachined implant abutments. The Journal of Prosthetic Dentistry 1998; 80(2): 184-192
M. N. Aboushelib and Z. Salameh. Zirconia implant abutment fracture: clinical case reports and precautions for use. The International Journal of Prosthodontics 2009; 22(6): 616-619
A. Ortorp, T. Jemt, T. Back, and T. Jalevik. Comparisons of precision of fit between cast and CNC-milled titanium implant frameworks for the edentulous mandible. The International Journal of Prosthodontics 2003; 16(2): 194-200
A. Parpaiola, M. R. Norton, D. Cecchinato. Virtual abutment design: a concept for delivery of CAD/CAM customized abutments- report of a retrospective cohort. The International Journal of Periodontics & Restorative Dentistry 2013; 33(1): 51-58
T. Kapos, L. M. Ashy, G. O. Gallucci, H. P. Weber, and D. Wismeijer. Computer-aided design and computer-assisted manufacturing in prosthetic implant dentistry. The International Journal of Oral & Maxillofacial Implants 2009; 24: 110-117
W. Chee and S. Jivraj. Designing abutments for cement retained implant supported restorations. British Dental Journal 2006; 20(9): 559-563