• Chaosin Chaitanuvong D.D.S.
• Pravej Serichetaphongse D.D.S., M.Sc.
• Atiphan Pimkhaokham D.D.S., Ph.D.

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.

(CU Dent J. 2012;35:259-72)