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Fig. 01 The patient presented for treatment with a flipper appliance in the area of her maxillary right lateral incisor.

Fig. 02 Initial condition of edentulous space.

Fig. 03 Occlusal view of edentulous area shows facial-palatal resorption of the ridge.

Fig. 04 Caliper measurements indicated ridge width of approximately 5.5 mm, which was sufficient for the placement of a 3.0-mm-diameter Hahn™ Tapered Implant.

Fig. 05 A surgical flap was reflected to visualize the bone crest.

Fig. 06 Proper positioning of the initial osteotomy was confirmed radiographically with a parallel pin in place.

Fig. 07 The 3.0 mm x 16 mm Hahn Tapered Implant was initially inserted with a handpiece and threaded into final position with a torque wrench.

Fig. 08 Treatment area after full seating of the implant.

Fig. 09 Post-operative radiograph verified that the implant was fully seated and didn’t impinge upon the periodontal ligament spaces of the adjacent teeth.

Fig. 10 Condition of patient after 17 weeks of healing.

Fig. 11 A tissue punch was used to expose the implant.

Fig. 12 A scanning abutment was attached so a digital impression could be taken.

Fig. 13 Radiography verified complete seating of the scanning abutment.

Fig. 14 The iTero intraoral scanner was used to create the final digital impression and submit the case to the lab for restoration.

Fig. 15 The lab digitally designed the Inclusive Custom Abutment without having to wait for a physical impression or pour a stone model.

Fig. 16 The final crown was designed in concert with the custom abutment to optimize the gingival margins and emergence profile.

Fig. 17 To maximize esthetics in the smile zone, the final restoration consisted of a BruxZir® Anterior crown over an Inclusive Custom Zirconia Abutment with titanium base.

Fig. 18 Complete seating of the custom abutment was confirmed with a periapical X-ray.

Fig. 19 The custom abutment fit perfectly, establishing margins just below the soft tissue. Teflon tape was placed over the fixation screw.

Fig. 20 The final crown was cemented over the custom abutment.

Fig. 21 The patient was very happy with the final restoration, which exhibited a lifelike appearance among the patient’s natural teeth.