Browse > Article
http://dx.doi.org/10.4047/jkap.2013.51.2.107

Implant restoration considering maintenance for a patient with excessive crown height space  

Ma, Juri (Department of Prosthodontics, School of Dentistry, Chonnam National University)
Yang, Hong-So (Department of Prosthodontics, School of Dentistry, Chonnam National University)
Park, Sang-Won (Department of Prosthodontics, School of Dentistry, Chonnam National University)
Lim, Hyun-Pil (Department of Prosthodontics, School of Dentistry, Chonnam National University)
Yun, Kwi-Dug (Department of Prosthodontics, School of Dentistry, Chonnam National University)
Vang, Mong-Sook (Department of Prosthodontics, School of Dentistry, Chonnam National University)
Publication Information
The Journal of Korean Academy of Prosthodontics / v.51, no.2, 2013 , pp. 107-112 More about this Journal
Abstract
Complications increases when crown height space is excessive and one should be careful of choosing type of fixed prosthesis in case crown height space is over 12 mm. In this condition, tooth seems to be longer, therefore, it is needed to use gingival shade in aesthetically important area for fixed prosthesis. In this case, fixed prosthesis which has inappropriate maintenance and hygiene could hold food, plaque, calculus, thus increase incidence of inflammation and infection. Moreover, it could lead to chronic inflammation and infection and in that case surgical improvement could be necessary. In present case report, gingival inflammation and swelling developed around prosthesis after having made it considering articulation and aesthetic view in patient who had excessive crown height space. Finding out that design of prosthesis is a factor to make it hard to maintain oral hygiene, a temporary prosthesis which has enough interproximal space and proper emergence profile was fabricated. After two months of observation, significant abnormal symptoms are not found and oral reconstruction is performed using fixed prosthesis with zircornia infrastructure and porcelain build-up based on convenient self hygiene design. Through serial treatment, inappropriate soft tissue response is not observed and satisfactory result in functional aspect comes out.
Keywords
Excessive crown height space; Implant; Maintenance;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Misch CE. Prosthetic options in implant dentistry. Int J Oral Implantol 1991;7:17-21.
2 Kakudo Y, Ishida A. Mechanism of dynamic responses of the canine and human skull due to occlusal, masticatory and orthodontic forces. Osaka Daigaku Shigaku Zasshi 1972;6:137-144.
3 Misch CE. Bone classification, training keys to implant success. Dent Today 1989;8:39-44.
4 Jensen OT, Cockrell R, Kuhike L, Reed C. Anterior maxillary alveolar distraction osteogenesis: a prospective 5-year clinical study. Int J Oral Maxillofac Implants 2002;17:52-68.
5 Garber DA. Implants-the name of the game is still maintenance. Compendium 1991;12:876;878;880 passim.
6 Yukna RA. Optimizing clinical success with implants: maintenance and care. Compend Suppl 1993:S554-S561; quiz S565-S566.
7 Pissis P. Emergence profile considerations of implant abutments. Pract Periodontics Aesthet Dent 1994;6:69-76; quiz 78.
8 Davarpanah M, Martinez H, Celletti R, Tecucianu JF. Three-stage approach to aesthetic implant restoration: emergence profile concept. Pract Proced Aesthet Dent 2001;13:761-767; quiz 768;721-722
9 Saba S. Anatomically correct soft tissue profiles using fixed detachable provisional implant restorations. J Can Dent Assoc 1997;63:767-768;770.
10 Misch CE, Goodacre CJ, Finley JM, Misch CM, Marinbach M, Dabrowsky T, English CE, Kois JC, Cronin RJ Jr. Consensus conference panel report: crown-height space guidelines for implant dentistry-part 1. Implant Dent 2005;14:312-318.   DOI