2019, Number 3
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Rev ADM 2019; 76 (3)
Handling of soft tissues of an implant with immediate loading of the upper anterior sector: clinical case report
Álvarez CAM, Morales SY, Pérez Gutiérrez ÁE, Sánchez-Marín CG
Language: Spanish
References: 12
Page: 169-172
PDF size: 235.76 Kb.
ABSTRACT
Dental implants have been placed in scarred extraction sites by a two-stage surgical procedure for a period of three to six months without load. However, patients expect to be rehabilitated as soon as possible, especially patients undergoing esthetic restorations in the anterior maxilla. After implant placement, the fabrication of the temporary restoration and implant loading within 48 hours are called immediate loading. This shortens the time of treatment, beacause it requires fewer surgical interventions, reduces peri-implant crestal bone loss, leads to the preservation of soft tissue morphology and improves aesthetics. In this article we will discuss the clinical case of a 44-year-old female patient who had lost the dental organ 21. Periodontal, radiographic and tomographic assessment of this dental organ was performed, an implant was placed with the use of surgical guide and acrylic prosthesis thermocurable, immediate loading was performed, the provisional was formed with a concave subgingival contour and critical and subcritical contour criteria were taken into account for the ideal development of the emergence profile. In the assessment appointments stable periimplant tissues were found and the patient did not report symptoms.
REFERENCES
Goodacre CJ, Kan JY, Rungcharassaeng K. Clinical complications of osseointegrated implants. J Prosthet Dent. 1999; 81: 537-552.
Kan JY, Rungcharassaeng K, Lozada J. Bilaminar subepithelial connective tissue grafts for implant placement and provisionalization in the esthetic zone. J Calif Dent Assoc. 2005; 33: 865-871.
Kan JY, Roe P, Rungcharassaeng K, Patel R, Waki T, Lozada JL, Zimmerman G. Classification of sagittal root position in relation to the anterior maxillary osseous housing for immediate implant placement: a cone beam computed tomography study. Int J Oral Maxillofac Implants. 2011; 26: 873-876.
Kois JC, Kan JYK. Predictable peri-implant gingival esthetics: surgical and prosthodontic rationales. Pract Proced Aesthet Dent. 2001; 13: 711-715.
Kan JY, Rungcharassaeng K. Immediate placement and provisionalization of maxillary anterior single implant: a surgical and prosthodontic rationale. Pract Periodontics Aesthet Dent. 2000; 12: 817-824.
Weisgold AS, Arnoux JP, Lu J. Single-tooth anterior implant: A world of caution. Part I. J Esthet Dent. 1997; 9: 225-233.
Morris ML. The position of the margin of the gingiva. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 1958; 11: 969-984.
Huan Su, González-Martín O, Weisgold A, Lee E. Considerations of implant abutment and crown contour: critical contour and subcritical contour. Int J Periodontics Restorative Dent. 2010; 30 (4): 335-343.
Bichacho N, Landsberg CJ. Single implant restorations: prosthetically induced soft tissue topography. Pract Periodontics Aesthet Dent. 1997; 9: 745-752.
Lee EA. Transitional custom abutments: Optimizing aesthetic treatment in implant- supported restorations. Pract Periodontics Aesthet Dent. 1999; 11: 1027-1034.
Small PN, Tarnow DP. Gingival recession around implants: a 1-year longitudinal prospective study. Int J Oral Maxillofac Implants. 2000; 15: 527-532.
Rompen E, Raepsaet N, Domken O, Touati B, Van Dooren E. Soft tissue stability at the facial aspect of gingivally converging abutments in the esthetic zone: a pilot clinical study. J Prosthet Dent. 2007; 97 (Suppl 6): S119-S125.
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