Dr. Jaafar Mouhyi
DDS, PhD
• DDS, Free University of Brussels (ULB)
• University Diploma Bioengineering (VUB)
• Master in Periodontology
• PhD (International Research ULB, Brussels/Goteborg University) Director, Casablanca Oral Rehabilitation Training & Education Center (CORTEC)
• Past-President of the Digital Dentistry Society (DDS)
• Professor & Academic Director, Digital Dentistry program, Private University of Fes
• Professor, Head of the Biomaterials Research Department, International University of Agadir (Universiapolis), Agadir, Morocco
• Board of Chancellors, Clean Implant Foundation, Germany
Dr. Adam Mouhyi
introduction
introduction
The management of anterior aesthetic edentulism presents a significant challenge due to the complexity of preserving and restoring hard and soft tissue around implant-supported prostheses. Achieving optimal aesthetic and functional outcomes requires meticulous surgical and prosthetic protocols to replicate the natural emergence profile and gingival architecture.
In this case series, we present 3 superimposed single-implant anterior clinical cases involving patients requiring central incisor restoration following extraction, with the dual aims of aesthetic prosthetic rehabilitation and harmonious integration surrounding tissues. A standardized surgical-prosthetic workflow was employed across all cases to ensure consistency in clinical outcomes.
Central to this approach was the utilization of the iPhysio® coded abutment, an innovative solution offering several biomechanical and biological advantages:
- Emergence Profile Mimicry
The abutment’s design closely replicates the natural tooth emergence, facilitating optimal peri-implant soft tissue contouring. - Enhanced Biocompatibility
A zirconium-coated surface ensures superior tissue compatibility, promoting passive osseointegration and dynamic gingival adaptation. - Multifunctionality
The abutment serves as a healing abutment, scan body, and interim prosthetic support, considerably simplifying the restorative workflow. - Seamless Transition
The ability to retain the abutment from implant placement to final prosthesis delivery ensures biological continuity, particularly when paired with a zirconia crown, maintaining physicochemical synergy between the abutment and the prosthetic intra-gingival margin.
This case series highlights the clinical rationale and procedural benefits of the iPhysio® abutment, even in challenging anterior implant cases, highlighting its role in enhancing aesthetic predictability and long-term peri-implant tissue stability.
CASE A
CASE A
Patient: 63 years old male
Condition: Tooth 11 to be extracted as periodontally compromised
Mobility: +++
FIG. 1A-F Case A: initial situation.
“The management of anterior aesthetic edentulism presents a significant challenge due to the complexity of preserving and restoring hard and soft tissue around implant-supported prostheses.”
FIG. 6A-C Case A: healing.
FIG. 7A-G Case A: final crown design.
FIG. 8A-C Case A: final restauration.
CASE b
CASE b
Patient: 61 years old male
Condition: Tooth 11 to be extracted as periodontally compromised
Mobility: +++
FIG. 5A-I Case B: provisionalization. A part of the natural tooth relined and used as a provisional.
“Central to this approach was the utilization of the iPhysio® coded abutment, an innovative solution offering several biomechanical and biological advantages.”
FIG. 6A, B Case B: healing.
FIG. 7A-F Case B: final crown design.
FIG. 8A-C Case B: final restauration.
CASE c
CASE c
Patient: 59 years old male
Condition: Tooth 11 to be extracted as fractured longitudinally and showing acute infection
Mobility: +
FIG. 3A-F Case C: a double socket shield technic was performed maintaining the mesial and distal parts of the root to support the papili.
Fig 4A-E Case C: iPhysio in place (A, B) & provisionalization (C-E).
“The abutment’s design closely replicates the natural tooth emergence, facilitating optimal peri-implant soft tissue contouring.”
Fig 5A-C Case C: healing.
Final Comparison
Final Comparison
