Chulalongkorn University Dental Journal

Publication Date



Objective To describe the process of anterior guidance fabrication for the restoration of implant and teeth, which uses a custom anterior guide table to imitate anatomical details obtained from the anterior guidance of original restorations. Materials and methods The patient was diagnosed with an edentulous tooth on tooth 12 (right maxillary lateral incisor) and poor esthetics of three existing tooth restorations on teeth 11, 21 and 22 (the right maxillary central incisor, the left maxillary central incisor and the left maxillary lateral incisor). The treatment plan was to place an implant on tooth 12 and to employ guided bone regeneration and crown replacements on teeth 11, 21 and 22 by mimicking the original anterior guidance operations using a custom anterior guide table. Properly adjusted occlusions for the implant and the tooth restorations were fabricated and installed. Results The functional and esthetic results were satisfactory as indicated by the patient at the 12-month recall. Conclusion The method of anterior guidance fabrication described in this article results in restorations exhibiting esthetically pleasing, congruent occlusions in tooth-supported and implant-supported restorations.



First Page


Last Page


Included in

Dentistry Commons



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.