Summary

The article discusses the use of a one-time intermediate abutment for proper implant placement and
addressing challenges posed by asymmetric gingival margins. The technique involves placing the
abutment above the future bone margin and allows for customization of the emergence profile. A
case study is presented to demonstrate the step-by-step application of this technique, and the
advantages and disadvantages of the one-time intermediate abutment are discussed.

Example questions:

1. What is the purpose of using a one-time intermediate abutment in implant placement?

2. How does the one-time intermediate abutment allow for customization of the emergence profile?

3. Can you explain the advantages and disadvantages of using a one-time intermediate abutment in
implant dentistry?

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ARTICULO

1. The one-abutment, one-time concept in implant dentistry aims to improve stability of the bone-
implant interface and minimize tissue manipulation [5].

2. Abutment disconnection and reconnection can lead to peri-implant bone resorption [4].

3. The use of a one-time intermediate abutment can eliminate the need for repeated abutment
disconnections and reduce tissue trauma [3].

4. Digital workflows and CAD/CAM technology can be utilized in the fabrication of ceramic veneers
and customized abutments [2].

5. Pre-extraction planning and digital smile design can help determine the final height of the gingival
margin and guide surgical and prosthetic procedures [8].

6. The one-time intermediate abutment technique allows for a single body without an access screw,
platform switch, and gold coloration, resulting in improved esthetic outcomes [9].

7. The customization of the abutment shape and color can mimic the adjacent teeth and create a
bonding area for ceramic application [6].

8. Vertical axis of insertion in tooth preparations can help close black spaces and manipulate the
papillae [4].

9. Soft tissue manipulation and customization of the gingival architecture are important for achieving
favorable esthetic outcomes [5].

10. The one-time intermediate abutment technique offers advantages such as improved bone
remodeling, stability of tissues, patient comfort, and reversibility, but also has the disadvantage of
requiring additional prosthetic components [9].