RESUMO
The present article illustrates treatment options after implant removal (explantation) as a result of peri-implantitis in the anterior maxilla. After explantation of a dental implant in the anterior maxilla, the esthetical as well as functional rehabilitation is a demanding undertaking, especially, if removable prosthetic treatment options are undesirable. The present article illustrates that depending on individual patient's demands, different treatment options might be considered. However, in order to achieve aesthetically pleasing outcomes by means of fixed partial dentures (FDPs), the practitioner as well as the patient have to adapt oneself to a complex, time-consuming, and multiphasic therapy. Therefore, a comprehensive planning and systematic approach represent a mandatory prerequisite.
Assuntos
Implantes Dentários , Peri-Implantite , Humanos , Maxila/cirurgiaRESUMO
Extraosseous/peripheral Ameloblastoma (EPA) is a rare, benign odontogenic soft tissue tumour with the same histological characteristics as the more common intraosseous subtypes. The EPA appears in the soft tissue of the gingiva and the mucosa of the alveolar process often as unspecified painless swelling. The present case report describes an EPA in the aesthetic area of the left anterior maxilla. Based on the clinical finding the suspected diagnosis of a gingival cyst was made. Firstly, this case should highlight the importance of a proper histopathologic evaluation whenever a biopsy is performed. Furthermore, this report should illustrate a step-by-step procedure from the surgical re-excision of the EPA with a safetymargin to the healing phase to the aesthetic satisfying rehabilitation by using periodontal plastic surgery.