In a recent *Just Ask* session hosted by Stefan, dental implant expert Peter Gehrke discussed the critical role of abutments and superstructures in both the aesthetic and functional zones of dental implants. Peter, with extensive experience in both clinical practice and scientific research, offered insights into the evolution of implant technology, stressing the importance of tailored restorations for long-term success.
A key topic was the shift from standard titanium abutments to more customized solutions. While titanium bases have been the go-to choice for many years, Peter explained that today’s clinicians are moving toward more individualized abutments, like the TiBase and monolithic zirconia restorations. These offer enhanced aesthetics, better retention, and reduced complications like chipping or retention loss, particularly in aesthetic zones where precision is vital.
Peter also highlighted the importance of the abutment’s emergence profile and its interaction with the peri-implant mucosa. He discussed the challenges in selecting materials that are both biocompatible and aesthetically pleasing, emphasizing that a titanium base is often a safer option in posterior regions, while more translucent materials such as zirconia are ideal for the front teeth, provided they are paired with the right substructure.
The discussion also touched on the ongoing research around one-piece abutments and their implications for both aesthetics and functionality. Peter noted that, although some materials show promising results, challenges persist in achieving predictable outcomes in full-arch cases due to fitting and material discrepancies.
The session wrapped up with Peter stressing the importance of an individualized approach to each patient, underscoring that, while digital workflows are gaining traction, analog techniques are still valuable in certain complex cases. With advancements in materials and techniques, the future of implant restorations looks set to offer more precise, functional, and aesthetically pleasing solutions for patients.
The session was a great opportunity for clinicians to deepen their understanding of how modern abutment and superstructure choices can significantly impact both the functionality and appearance of dental implants, especially in the aesthetic zone.