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http://dx.doi.org/10.14368/jdras.2017.33.4.291

Esthetic implant restoration in the maxillary anterior missing area with palatal defect of the alveolar bone: a case report  

Oh, Jae-Ho (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University)
Kang, Min-Gu (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University)
Lee, Jeong-Jin (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University)
Kim, Kyoung-A (Department of Dentistry, School of Medicine, Eulji University)
Seo, Jae-Min (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.33, no.4, 2017 , pp. 291-298 More about this Journal
Abstract
It is challenging to produce esthetic implant restoration in the narrow anterior maxilla region where insufficient volume of alveolar bone could limit the angle and position of implant fixture, if preceding bone augmentation is not considered. Ideal angle and position of implant fixture placement should be established to reproduce harmonious emergence profile with marginal gingiva of implant prosthesis, bone augmentation considered to be preceded before implant placement occasionally. In this case, preceding bone augmentation has been operated before esthetic implant prosthesis in narrow anterior maxilla region. Preceded excessive bone augmentation in buccal area allowed proper angulation of implantation, which compensates unfavorable implant position. Provisional restorations were corrected during sufficient period to make harmonious level of marginal gingiva and interdental papilla. The definite restoration was fabricated using zirconia core based glass ceramic. Functionally and esthetically satisfactory results were obtained.
Keywords
implant prosthesis; bone augmentation;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Malchiodi L, Scarano A, Quaranta M, Piattelli A. Rigid fixation by means of titanium mesh in edentulous ridge expansion for horizontal ridge augmentation in the maxilla. Int J Oral Maxillofac Implants 1998;13:701-5.
2 von Arx T, Hardt N, Wallkamm B. The TIME technique: a new method for localized alveolar ridge augmentation prior to placement of dental implants. Int J Oral Maxillofac Implants 1996;11:387-94.
3 von Arx T, Kurt B. Implant placement and simultaneous ridge augmentation using autogenous bone and a micro titanium mesh: a prospective clinical study with 20 implants. Clin Oral Implants Res 1999;10:24-33.   DOI
4 Phillips JH, Rahn BA. Fixation effects on membranous and endochondral onlay bone graft revascularization and bone deposition. Plast Reconstr Surg 1990;85:891-7.   DOI
5 Zins JE, Whitaker LA. Membranous versus endochondral bone: implications for craniofacial reconstruction. Plast Reconstr Surg 1983;72:778-85.   DOI
6 Rabie AB, Dan Z, Samman N. Ultrastructural identification of cells involved in the healing of intramembraneous and endochondral bones. Int J Oral Maxillofac Surg 1996;25:383-8.   DOI
7 Roccuzzo M, Ramieri G, Spada MC, Bianchi SD, Berrone S. Vertical alveolar ridge augmentation by means of a titanium mesh and autogenous bone grafts. Clin Oral Implants Res 2004;15:73-81.   DOI
8 Lazzara RJ. Managing the soft tissue margin: the key to implant aesthetics. Pract Periodontics Aesthet Dent 1993;5:81-8.
9 Bichacho N, Landsberg CJ. A modified surgical/prosthetic approach for an optimal single implantsupported crown. Part II. The cervical contouring concept. Pract Periodontics Aesthet Dent 1994;6:35-41.
10 Hurzeler MB, Quinones CR, Strub JR. Advanced surgical and prosthetic management of the anterior single tooth osseointegrated implant: a case presentation. Pract Periodontics Aesthet Dent 1994;6:13-21.
11 Grunder U. Stability of the mucosal topography around single-tooth implants and adjacent teeth: 1-year results. Int J Periodontics Restorative Dent 2000;20:11-7.
12 Small PN, Tarnow DP. Gingival recession around implants: a 1-year longitudinal prospective study. Int J Oral Maxillofac Implants 2000;15:527-32.
13 Funato A, Salama MA, Ishikawa T, Garber DA, Salama H. Timing, positioning, and sequential staging in esthetic implant therapy: a four-dimensional perspective. Int J Periodontics Restorative Dent 2007;27:313-23.
14 Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol 2015;32:212-8.
15 Misch CE. Contemporary implant dentistry. 3rd ed. St. Louis; CV Mosby; 2009. p. 739-68.
16 Bengazi F, Wennstrom JL, Lekholm U. Recession of the soft tissue margin at oral implants. A 2-year longitudinal prospective study. Clin Oral Implants Res 1996;7:303-10.   DOI
17 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.
18 Seo CW, Han AR, Seo JM, Lee JJ. A technique for fabricating abutment replica with hot melt adhesive material to minimize residual cement in implant restoration: a case report. J Dent Rehabil Appl Sci 2016;32:240-5.   DOI