Computer-aided planning of soft tissue augmentation with prosthetic guidance for the establishment of a natural mucosal contour in late implant placement.
connective tissue graft
dental implant
microsurgery
surgical flaps
Journal
Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]
ISSN: 1708-8240
Titre abrégé: J Esthet Restor Dent
Pays: England
ID NLM: 101096515
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
10
05
2019
revised:
03
07
2019
accepted:
29
07
2019
pubmed:
14
8
2019
medline:
31
12
2019
entrez:
14
8
2019
Statut:
ppublish
Résumé
Late implant placement in volume deficient sites has been considered a challenging situation for the establishment of a natural mucosal topography. Dimensional relations of hard and soft tissues together with the prosthetic components have not been clarified in the literature. The aim of this proof-of-concept case report was to establish the tooth-like appearance with virtual planning prior to surgical intervention and to calculate the ideal amount of desired soft tissue. Minimum amount of tissue reconstruction was calculated with computer-aided soft tissue augmentation and a temporary restoration mimicking the emergence profile of a molar was fabricated for guiding the peri-implant mucosa in the early wound healing phase. After 4 months of healing, the final restoration was completed with a screw-retained crown-abutment. The 2-year follow-up period demonstrated a stability of the mucosal margin and peri-implant health. A natural mucosal contour could be established with the help of virtual planning. The calculation of required tissue quantity may help clinicians for the creation of a natural appearance in late implant placement. Virtual soft tissue augmentation may determine the required tissue quantity and therefore, could play an important role in the establishment of natural mucosal contour for late implant placement.
Substances chimiques
Dental Implants
0
Types de publication
Case Reports
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Pagination
553-560Informations de copyright
© 2019 Wiley Periodicals, Inc.
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