A few months back, I was in the Demystifying Occlusion seminar with Frank Spear and he talked about the prep and pray method for doing posterior crown. It got me thinking about how I used to restore anterior implants via the "Pour up and pray method." My "pour up and pray method" was removing the healing cap, placing the impression coping as fast as possible, squirting impression material into the socket and praying the lab technician could replicate the soft tissue and the emergence profile.

Cerec and its workflow make it so predictable and take all the challenge and guesswork out of anterior implant restoration.

Step 1: scan the day of implant surgery and make a custom healing abutment with enamic.

Step 2: rescan a few months out. used bio reference to copy #9. Fabricated custom incoris zirc abutment (infiltrated) with emax lt c2 for the final crown in extra fine mode.

The last few photos were before cementation yesterday, so it does look a little bit long, but the incisal length is perfect after cementation.

Quick thoughts on the zirconia abutments: 1) mill so smoothly 2) you can also buy them in single packs instead of buying packs of 5

Beautiful work! I do love me a zirconia abutment including the opacity for blocking out metal too. What I really love about this workflow is the control you can get of the margins, so no worries about cement or difficult cleanup.