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http://dx.doi.org/10.14368/jdras.2015.31.2.126

Multidisciplinary approach of the problem of unaesthetic implants in the maxillary anterior dentition  

Joo, Ji-Young (Department of Periodontology, Pusan National University Dental Hospital)
Choi, Jeomil (Department of Periodontology, School of Dentistry, Pusan National University)
Lee, Ju-Youn (Department of Periodontology, School of Dentistry, Pusan National University)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.31, no.2, 2015 , pp. 126-133 More about this Journal
Abstract
Periodontal tissue destroyed by inflammation is difficult to achieve regeneration of the tissue and esthetic restorations only by surgical methods. In particular, improvement of esthetics is more difficult if the problem is related to the implant. A 23 year old woman suffered from unesthetic anterior implant prosthesis. According to her dental history, a repeated bone graft and soft tissue graft failed at a local dental clinic. It was needed to resolve the inflammation and to improve the esthetics. A free gingival graft and ridge augmentation accompanied by guided bone regeneration and a vascularized interpositional periosteal connective tissue graft was performed. Instead of implant prosthesis, a conventional fixed bridge was adopted for better esthetic result. The patient was satisfied with the esthetic conventional fixed prosthesis. This case report introduces esthetic rehabilitation of unesthetic implant prosthetics in the maxillary anterior dentition by a combination of surgical and prosthetic approaches.
Keywords
alveolar ridge augmentation; implant supported dental prosthesis; peri-implantitis;
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