RESUMEN
This case report describes the formation of an unusual unaesthetic gingival enlargement during a five year post operative period subsequent to a subepithelial connective tissue graft placed facial to teeth #4 and #6. Histological assessment of the enlarged tissue indicated that it consisted of viable bone and marrow. The exostosis was reduced with rotary instruments and acceptable soft tissue aesthetics were created using a carbon dioxide laser for gingivoplasty. Possible causes for this unusual enlargement are discussed.
Asunto(s)
Exostosis/etiología , Encía/trasplante , Enfermedades Maxilares/etiología , Complicaciones Posoperatorias , Adulto , Dióxido de Carbono , Tejido Conectivo/trasplante , Estética Dental , Exostosis/cirugía , Femenino , Hipertrofia Gingival/etiología , Hipertrofia Gingival/cirugía , Recesión Gingival/cirugía , Gingivoplastia , Humanos , Terapia por Láser , Enfermedades Maxilares/cirugíaRESUMEN
This case report documents the placement of a single implant fixture in an incisor extraction socket, with the adjacent lateral incisor developing periapical pathosis within 2 weeks. This root-end inflammatory process proceeded to communicate with the surface of the implant fixture. Although endodontic therapy was performed within one week on the devitalized tooth, and extensive osteomyelitis developed around the implant. Three weeks after placement, the fixture had to be removed. The osteotomy site appeared to be healing uneventfully during the one month follow-up period. Seven possible causes for this occurrence are discussed.