Prosthetically adverse implant position: an aesthetic surgical-prosthetic solution. Case report.
Abstract
Clinical case of a 43-year-old female patient treated at the clinic of Universidad Nacional Mayor de San Marcos, Peru, in 2015 for aesthetic problems in the activation of a unitary implant placed at a distal and vestibular direction from the ideal position. The clinical examination revealed the vestibularization of the implant at the level of the upper right central incisor with the healing abutment visible above the gingival line and high gingival smile. Connective tissue grafts and ovoid pontics were carried out in order to improve the characteristics of the peri-implant tissue. This clinical case evidenced an improvement of the soft tissue profile and patient satisfaction regarding her smile. The management of a vestibularized implant may be solved through the management of ovoid pontics and connective tissue grafts.References
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2. Buser D, Martin W, Belser UC. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants. 2004;19:43–61.
3. Mangano FG, Mastrangelo P, Luongo F, Blay A, Tunchel S, Mangano C. Aesthetic outcome of immediately restored single implants placed in extraction sockets and healed sites of the anterior maxilla: a retrospective study on 103 patients with 3 years of follow-up. Clin Oral Implants Res. 2017;28(3):272–82.
4. Berberi AN, Noujeim ZN, Kanj WH, Mearawi RJ, Salameh ZA. Immediate placement and loading of maxillary single-tooth implants: a 3-year prospective study of marginal bone level. J Contemp Dent Pract. 2014;15(2):202–8.
5. Martin WC, Pollini A, Morton D. The influence of restorative procedures on esthetic outcomes in implant dentistry: a systematic review. Int J Oral Maxillofac Implants. 2014;29(Suppl):142–54.
6. Veltri M, Ekestubbe A, Abrahamsson I, Wennström JL. Three-Dimensional buccal bone anatomy and aesthetic outcome of single dental implants replacing maxillary incisors. Clin Oral Implants Res. 2016;27(8):956–63.
7. Khzam N, Arora H, Kim P, Fisher A, Mattheos N, Ivanovski S. Systematic Review of Soft Tissue Alterations and Esthetic Outcomes Following Immediate Implant Placement and Restoration of Single Implants in the Anterior Maxilla. J Periodontol. 2015;86(12):1321–30.
8. Wittneben JG, Buser D, Belser UC, Brägger U. Peri-implant soft tissue conditioning with provisional restorations in the esthetic zone: the dynamic compression technique. Int J Periodontics Restorative Dent. 2013;33(4):447–55.
9. Fu JH, Lee A, Wang HL. Influence of tissue biotype on implant esthetics. Int J Oral Maxillofac Implants. 2011;26(3):499–508.
10. De Bruyckere T, Eghbali A, Younes F, De Bruyn H, Cosyn J. Horizontal stability of connective tissue grafts at the buccal aspect of single implants: a 1-year prospective case series. J Clin Periodontol. 2015;42(9):876–82.
11. Seibert JS. Reconstruction of deformed, partially edentulous ridges, using full thickness onlay grafts. Part I. Technique and wound healing. Compend Contin Educ Dent. 1983;4(5):437–53.
12. Nordland WP, Tarnow DP. A classification system for loss of papillary height. J Periodontol. 1998;69(10):1124–6.
13. Brief J, Edinger D, Hassfeld S, Eggers G. Accuracy of image-guided implantology. Clin Oral Implants Res. 2005;16(4):495–501.
14. Wittneben JG, Buser D, Salvi GE, Bürgin W, Hicklin S, Brägger U. Complication and failure rates with implant-supported fixed dental prostheses and single crowns: a 10-year retrospective study. Clin Implant Dent Relat Res. 2014;16(3):356–64.
15. Chee W. Treatment planning and soft-tissue management for optimal implant esthetics: a prosthodontic perspective. J Calif Dent Assoc. 2003;31(7):559–63.
16. Van Assche N, Quirynen M. Tolerance within a surgical guide. Clin Oral Implants Res. 2010;21(4):455–8.
17. Weigl P, Strangio A. The impact of immediately placed and restored single-tooth implants on hard and soft tissues in the anterior maxilla. Eur J Oral Implantol. 2016;9(Suppl 1):S89–106.
Published
2018-11-22
How to Cite
CHALE-YARINGAÑO, Andrés; CASTRO-RODRÍGUEZ, Yuri; GRADOS-POMARINO, Sixto.
Prosthetically adverse implant position: an aesthetic surgical-prosthetic solution. Case report..
Journal of Oral Research, [S.l.], v. 7, n. 8, p. 323-326, nov. 2018.
ISSN 0719-2479.
Available at: <https://joralres.com/index.php/JOralRes/article/view/joralres.2018.078>. Date accessed: 02 june 2023.
doi: https://doi.org/10.17126/joralres.2018.078.
Issue
Section
Cases
Keywords
Esthetics; dental implants; peri-implant tissue.
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