Strategic serial extractions and immediate implantation for interdental papilla preservation: A case report

Geun-Bae Choi; Jung-Jin Lee; Seung-Geun Ahn; Jae-Min Seo

doi:10.4047/jkap.2017.55.3.286

Journal List > J Korean Acad Prosthodont > v.55(3) > 1034934

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Choi, Lee, Ahn, and Seo: Strategic serial extractions and immediate implantation for interdental papilla preservation: A case report

Case Report

J Korean Acad Prosthodont 2017;55(3):286-291.

Published online: NaN July 2017

DOI: https://doi.org/10.4047/jkap.2017.55.3.286

Strategic serial extractions and immediate implantation for interdental papilla preservation: A case report

Geun-Bae Choi¹, Jung-Jin Lee², Seung-Geun Ahn², Jae-Min Seo^2,^∗

^¹Hanvit Dental Clinic, Wonju, Republic of Korea

^²Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University, Jeonju, Republic of Korea

∗Corresponding Author: Jae-Min Seo Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University, 567 Baekjedaero, Dukjin-gu, Jeonju 54896, Repulic of Korea +82 (0)63 250 2696: e-mail, jmseo@jbnu.ac.kr

Received 12 December 20165 January 2017 Accepted 2 February 2017

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Maintaining the blood supply of the interdental alveolar bone is crucial for preserving the interdental papilla. Rebuilding the interimplant papilla between adjacent implants is more difficult than rebuilding the interdental papilla between the natural tooth and implant. Therefore, preserving the interimplant tissue is necessary when adjacent implants are closely placed. In this case report, three effective methods for maintaining the surrounding tissue, namely strategic serial extraction, immediate implantation, and provisionalization of adjacent maxillary central incisors, were performed. The marginal gingiva and interimplant papilla were well maintained for 24 months. (J Korean Acad Prosthodont 2017;55:286-91)

Keywords: Interdental papilla, Immediate implant, Serial extraction

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Fig. 1.

(A) Intraoral photograph, (B) Periapical radiograph at the first visit.

Fig. 2.

(A) Immediate implant was placed and provisional restoration was connected on the left maxillary central incisor, (B) Periapical radiograph after implantation on the left maxillary central incisor.

Fig. 3.

(A) Immediate implant was placed and provisional restoration was connected on the right maxillary central incisor, (B) Periapical radiograph after provisional restorations were connected.

Fig. 4.

The buccal marginal gingiva and interimplant papilla were stably maintained after 5 months of implantation.

Fig. 5.

(A) Zirconia abutments were connected, (B) Zirconia crowns were cemented.

Fig. 6.

(A) No marginal gingiva or interimplant papilla recession was observed after 24 months, (B) The marginal gingiva and interimplant bone around the implant were well maintained.

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