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http://dx.doi.org/10.4047/jkap.2022.60.2.168

Aesthetic implant restoration with alveolar bone graft and digital method on maxillary central incisor: a case report  

Jang, Han-Sol (Department of Prosthodontics, Gangnam Severance Dental Hospital, College of Dentistry, Yonsei University)
Pyo, Se-Wook (Department of Prosthodontics, Gangnam Severance Dental Hospital, College of Dentistry, Yonsei University)
Kim, Sunjai (Department of Prosthodontics, Gangnam Severance Dental Hospital, College of Dentistry, Yonsei University)
Chang, Jae-Seung (Department of Prosthodontics, Gangnam Severance Dental Hospital, College of Dentistry, Yonsei University)
Publication Information
The Journal of Korean Academy of Prosthodontics / v.60, no.2, 2022 , pp. 168-174 More about this Journal
Abstract
In case of gingival recession or bone defect in maxillary anterior implant treatment, it is not easy to obtain satisfactory clinical results. In this case, loss of the labial alveolar plate was diagnosed in the maxillary right central incisor, so after tooth extraction, soft tissue was secured and implant placement with bone graft was planned. In addition, digital guide surgery was performed for the ideal implant position, and GBR (Guided Bone Regeneration) was accompanied with the xenogeneic bone and the autologous bone collected from the mandibular ramus since alveolar bone defects were extensive. After a sufficient period of osseointegration of the implant, a temporary prosthesis was fabricated through secondary stage surgery and impression taking, and through periodic external adjustment, the shape of soft tissue was improved. In the final prosthesis fabrication, a color tone of natural teeth was induced by an gold anodized customized abutment, and an aesthetic and functional zirconia prosthesis with reproducing the shape of the temporary prosthesis through intraoral scan was delivered.
Keywords
Alveolar bone graft; Digital diagnosis; Guide surgery; Implant; Maxillary anterior;
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1 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.
2 Grunder U, Gracis S, Capelli M. Influence of the 3-D bone-to-implant relationship on esthetics. Int J Periodontics Restorative Dent 2005;25:113-9.
3 Chen ST, Buser D. Esthetic outcomes following immediate and early implant placement in the anterior maxilla--a systematic review. Int J Oral Maxillofac Implants 2014;29:186-215.   DOI
4 Morton D, Chen ST, Martin WC, Levine RA, Buser D. Consensus statements and recommended clinical procedures regarding optimizing esthetic outcomes in implant dentistry. Int J Oral Maxillofac Implants 2014;29:216-20.
5 Morton D, Chen ST, Martin WC, Levine RA, Buser D. Consensus statements and recommended clinical procedures regarding optimizing esthetic outcomes in implant dentistry. Int J Oral Maxillofac Implants 2014;29:216-20.
6 Patel N. Effect of different implant abutment materials on optical properties of translucent monolithic zirconia crowns. Master's theses, Marquette University, Milwaukee, Wisconsin, USA. 2019.
7 Su H, Gonzalez-Martin O, Weisgold A, Lee E. Considerations of implant abutment and crown contour: critical contour and subcritical contour. Int J Periodontics Restorative Dent 2010;30:335-43.
8 Gonzalez-Martin O, Lee E, Weisgold A, Veltri M, Su H. Contour management of implant restorations for optimal emergence profiles: guidelines for immediate and delayed provisional restorations. Int J Periodontics Restorative Dent 2020;40:61-70.   DOI
9 Chappuis V, Rahman L, Buser R, Janner SFM, Belser UC, Buser D. Effectiveness of contour augmentation with guided bone regeneration: 10-year results. J Dent Res 2018;97:266-74.   DOI
10 Zitzmann NU, Scharer P, Marinello CP. Factors influencing the success of GBR. Smoking, timing of implant placement, implant location, bone quality and provisional restoration. J Clin Periodontol 1999;26:673-82.   DOI
11 Wang T, Wang L, Lu Q, Fan Z. Influence of anodized titanium abutments on the esthetics of the peri-implant soft tissue: a clinical study. J Prosthet Dent 2021;125:445-52.   DOI
12 Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. an experimental study in the dog. J Clin Periodontol 2005;32:212-8.   DOI
13 Small PN, Tarnow DP. Gingival recession around implants: a 1-year longitudinal prospective study. Int J Oral Maxillofac Implants 2000;15:527-32.
14 Spinato S, Galindo-Moreno P, Bernardello F, Zaffe D. Minimum abutment height to eliminate bone loss: influence of implant neck design and platform switching. Int J Oral Maxillofac Implants 2018;33:405-11.   DOI
15 Buser D, Chen ST, Weber HP, Belser UC. Early implant placement following single-tooth extraction in the esthetic zone: biologic rationale and surgical procedures. Int J Periodontics Restorative Dent 2008;28:441-51.
16 Buser D, Chappuis V, Belser UC, Chen S. Implant placement post extraction in esthetic single tooth sites: when immediate, when early, when late? Periodontol 2000 2017;73:84-102.   DOI