Esthetic restoration in continuous maxillary anterior area using immediate implant placement: A case report

Ye Chan Lee; Jun Sung Shim; Jae Hoon Lee; Keun Woo Lee

doi:10.4047/jkap.2017.55.4.403

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Lee, Shim, Lee, and Lee: Esthetic restoration in continuous maxillary anterior area using immediate implant placement: A case report

Case Report

The Journal of Korean Academy of Prosthodontics 2017; 55(4): 403-409.

Published online: 26 October 2017

DOI: https://doi.org/10.4047/jkap.2017.55.4.403

Esthetic restoration in continuous maxillary anterior area using immediate implant placement: A case report

Ye Chan Lee, Jun Sung Shim, Jae Hoon Lee

, Keun Woo Lee

Department of Prosthodontics, School of Dentistry, Yonsei University, Seoul, Republic of Korea.

Corresponding Author: Keun Woo Lee. Department of Prosthodontics, School of Dentistry, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea. +82 (0)2 2228 3160: kwlee@yuhs.ac

Received 15 May 2017 Revised 28 August 2017 Accepted 31 August 2017

The Korean Academy of Prosthodontics

(open-access):

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

In the case of an extraction in the maxillary anterior region, immediate placement of implant-supported fixed prosthesis can be considered as a treatment option. Fewer surgical operations, reduced treatment time, and optimal availability of existing bone are obvious advantages of the method; however, when applied in the continuous maxillary anterior region, inter-implant distance must be carefully considered, as well as accurate diagnosis and treatment planning for predictable outcome. In this case report, immediate placement of two implants in the continuous maxillary anterior along with bone graft following the extraction of root rests, and the restoration of provisional and implant-supported fixed prosthesis on a 63-year-old patient had resulted in both esthetically and functionally satisfactory clinical outcomes.

Keywords: Immediate placement, Implant supported fixed prosthesis, Esthetic restoration, Computer-aided design and computer-aided manufacturing

Figures and Tables

Fig. 1

Oral and radiographic examination. (A) Periapical view, (B) Intraoral view

Fig. 2

Implant planning on onDemand 3D.

Fig. 3

(A) Occlusal view after implant surgery, (B) impression taking using impression jig for making provisional restoration.

Fig. 4

Designing provisional restoration on Exocad (A) mirroring of diagnostic cast, (B) modification of critical area & subcritical area (C) design of provisional restoration.

Fig. 5

Provisional restoration (A) contour of provisional restoration, (B) 2 month after delivery.

Fig. 6

(A) Customized impression coping, (B) Final impression.

Fig. 7

Shade selection (A) Tentative shade selection using Vita Easyshade compact, (B) Final shade selection using Vitapan 3D master.

Fig. 8

(A) Custom abutment design, (B) Final prosthesis.

Fig. 9

Final prosthesis delivery.

References

1. Brånemark PI, Adell R, Breine U, Hansson BO, Lindström J, Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg. 1969; 3:81–100.

2. Hämmerle CH, Chen ST, Wilson TG Jr. Consensus statements and recommended clinical procedures regarding the placement of implants in extraction sockets. Int J Oral Maxillofac Implants. 2004; 19:26–28.

3. Gallucci GO, Benic GI, Eckert SE, Papaspyridakos P, Schimmel M, Schrott A, Weber HP. Consensus statements and clinical recommendations for implant loading protocols. Int J Oral Maxillofac Implants. 2014; 29:287–290.

4. 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.

5. Tarnow D, Elian N, Fletcher P, Froum S, Magner A, Cho SC, Salama M, Salama H, Garber DA. Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. J Periodontol. 2003; 74:1785–1788.

6. Choquet V, Hermans M, Adriaenssens P, Daelemans P, Tarnow DP, Malevez C. Clinical and radiographic evaluation of the papilla level adjacent to single-tooth dental implants. A retrospective study in the maxillary anterior region. J Periodontol. 2001; 72:1364–1371.

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; 30:335–343.

8. Chen ST, Wilson TG Jr, Hämmerle CH. Immediate or early placement of implants following tooth extraction: review of biologic basis, clinical procedures, and outcomes. Int J Oral Maxillofac Implants. 2004; 19:12–25.

9. Arau′jo MG, Sukekava F, Wennström JL, Lindhe J. Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog. J Clin Periodontol. 2005; 32:645–652.

10. van Brakel R, Noordmans HJ, Frenken J, de Roode R, de Wit GC, Cune MS. The effect of zirconia and titanium implant abutments on light reflection of the supporting soft tissues. Clin Oral Implants Res. 2011; 22:1172–1178.

11. Chu SJ, Trushkowsky RD, Paravina RD. Dental color matching instruments and systems. Review of clinical and research aspects. J Dent. 2010; 38:e2–e16.

12. Bayindir F, Kuo S, Johnston WM, Wee AG. Coverage error of three conceptually different shade guide systems to vital unrestored dentition. J Prosthet Dent. 2007; 98:175–185.

13. Rilo B, da Silva JL, Mora MJ, Santana U. Guidelines for occlusion strategy in implant-borne prostheses. A review. Int Dent J. 2008; 58:139–145.

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ORCID iDs: Jae Hoon Lee
https://orcid.org/0000-0003-2281-8885
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