Angled Abutment for Screw-Retained Bridge

A 4-unit implant supported bridge was planned for 10-13 on 3 implants (Picture 1). The facial angulation of # 10 precluded a standard screw-retained option (pictures 2 & 3). Instead of resorting to a cement-retained option, an angled multi-unit abutment was placed on # 10 to reposition the screw access hole towards the palate (Pictures 4 & 5). In this way, a screw-retained bridge was fabricated with a multi-unit ti-base on # 10 and standard non-engaging ti-bases # 12 & 13 (Pictures 6 & 7). How would you have instructed the lab to design the restoration in this type of situation? Curious to hear everyone’s opinion based on previous experience.

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When hydrated this allograft becomes flexible and easily adapts to graft sites!