Journal List > J Korean Acad Prosthodont > v.56(4) > 1106354

Kang, Seo, Park, Lim, Yun, and Yang: Single implant restoration with esthetic prosthodontic treatment in maxillary anterior tooth: A case report

Abstract

In a single implant restoration of maxillary anterior teeth, it is difficult to accomplish an aesthetic restoration of the implant prosthesis in the case of gingival recession and bone defect problems. To maintain aesthetic stability in the long term, it is important to place the implant in the ideal position as well as the recovery of the soft tissue and harmony with the prosthesis. Not only ideal implant position but also the harmony with surrounding soft tissues are important to fabricate aesthetic implant prosthesis for these cases. for these cases, a 47- years -old male with lowered level of osseous crest and gingival recession on maxillary anterior tooth was treated with guided bone regeneration and gingival recontouring.

Figures and Tables

Fig. 1

(A) Standard X-ray radiograph at first visit, (B) Intraoral photo at first visit.

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Fig. 2

Implant planning on implant placement diagnosis program (OnDemand 3D).

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Fig. 3

Intra-oral photo after the implant placement and guided bone regeneration. (A) Frontal view, (B) Occlusal view.

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Fig. 4

(A, B) Delivery of provisional restoration.

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Fig. 5

(A) Customized impression coping, (B) Master cast.

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Fig. 6

(A, B) Zirconia abutment with titanium insert, (C) Final prosthesis delivery.

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References

1. Evans CD, Chen ST. Esthetic outcomes of immediate implant placements. Clin Oral Implants Res. 2008; 19:73–80.
crossref
2. Grunder U. Stability of the mucosal topography around single-tooth implants and adjacent teeth: 1-year results. Int J Periodontics Restorative Dent. 2000; 20:11–17.
3. Fradeani M. DG Choi YH Woo SB Lee KR Kwon J Paik HS Kim . Esthetic rehabilitation in fixed prosthodontics. Vol 1. Esthetic analysis - a systematic approach to prosthetic treatment. Seoul: DaehanNarae Publishing Inc.;2007. p. 33–320.
4. Neale D, Chee WW. Development of implant soft tissue emergence profile: a technique. J Prosthet Dent. 1994; 71:364–368.
crossref
5. Jansen CE. Guided soft tissue healing in implant dentistry. J Calif Dent Assoc. 1995; 23:57–58. 6062 passim
6. 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.
7. Gomes AL, Montero J. Zirconia implant abutments: a review. Med Oral Patol Oral Cir Bucal. 2011; 16:e50–e55.
crossref
8. Fürhauser R, Florescu D, Benesch T, Haas R, Mailath G, Watzek G. Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score. Clin Oral Implants Res. 2005; 16:639–644.
crossref
9. Juodzbalys G, Wang HL. Esthetic index for anterior maxillary implant-supported restorations. J Periodontol. 2010; 81:34–42.
crossref
10. Belser UC, Schmid B, Higginbottom F, Buser D. Outcome analysis of implant restorations located in the anterior maxilla: a review of the recent literature. Int J Oral Maxillofac Implants. 2004; 19:suppl. 30–42.
11. 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; 27:313–323.
12. Misch CE. Contemporary implant dentistry. 3rd ed. St. Louis: CV Mosby;2009. p. 739–768.
13. Bichacho N, Landsberg CJ. Single implant restorations: prosthetically induced soft tissue topography. Pract Periodontics Aesthet Dent. 1997; 9:745–752.
14. Prestipino V, Ingber A. Esthetic high-strength implant abutments. Part I. J Esthet Dent. 1993; 5:29–36.
15. Prestipino V, Ingber A. Esthetic high-strength implant abutments. Part II. J Esthet Dent. 1993; 5:63–68.
crossref
16. Magne P, Magne M, Jovanovic SA. An esthetic solution for single-implant restorations - type III porcelain veneer bonded to a screw-retained custom abutment: a clinical report. J Prosthet Dent. 2008; 99:2–7.
crossref
17. Watkin A, Kerstein RB. Improving darkened anterior periimplant tissue color with zirconia custom implant abutments. Compend Contin Educ Dent. 2008; 29:238–240. 242
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ORCID iDs

Hyeon Kang
https://orcid.org/0000-0003-3999-2871

Nu-Ri Seo
https://orcid.org/0000-0003-0291-6410

Sang-Won Park
https://orcid.org/0000-0002-9376-9104

Hyun-Pil Lim
https://orcid.org/0000-0001-5586-1404

Kwi-Dug Yun
https://orcid.org/0000-0002-2965-3967

Hong-So Yang
https://orcid.org/0000-0002-9138-4817

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