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this is dr. Scott McLain and this is a youtube video about implant dentistry todays topic will be the ASC abutment Im going to be doing a case presentation on an anterior lateral with this abutment were able to tip the implant crown channel back by 25 degrees if needed as you can see in this present case were tipping this back a little bit so we can idealize where we want the screw channel to be in the anterior posterior even in the premolars so this is a great tool to use if we look at the before pictures we can see that the lateral is actually got a little bit of recession weve got a little bit of distal recession we have a contact issue here so heavy contacting centric and we also have the typical pattern of this lower central being advanced this is a telltale sign usually for some bone loss in the lateral region the patient was sent for a periodontal evaluation due to the 9 millimeter pocket on the distal of the lateral tooth the periodontist recommended that the tooth be ext