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1.
Gen Dent ; 68(1): 46-49, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31859662

RESUMO

Esthetic problems in maxillary central incisors are often difficult to treat with dental implants. It is necessary to preserve the interdental papillae, or regenerate them if they are absent, and minimize the risk of loss of hard or soft tissue. This task may be made easier by the recent introduction of ultratranslucent zirconia, which can be used with custom zirconia abutments to mutually enhance the effectiveness of both materials. This case report describes implant therapy with ultratranslucent monolithic zirconia restorations in the esthetic zone. In this approach, adequate pink esthetics can be achieved by delayed titanium implant placement in conjunction with guided bone regeneration. Ultratranslucent monolithic zirconia restorations with custom zirconia abutments provide predictable esthetic results.


Assuntos
Implantes Dentários para Um Único Dente , Implantes Dentários , Estética Dentária , Zircônio , Coroas , Dente Suporte , Humanos
3.
Cureus ; 14(4): e24621, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35506118

RESUMO

Complex implant therapy can include methods requiring several phases of treatment, and they are usually referred to as one-stage and two-stage approaches. The reasons for the staged approach include the extraction of non-restorable teeth. Such a treatment approach may offer a fixed provisional prosthesis during implant osseointegration that enables the patient to avoid removable prostheses. However, this case aims to demonstrate how to manage the soft tissue in the pontic region prior to immediate implant placement. A 45- years old female patient presented with non-restorable teeth from the maxillary right lateral incisor to the left lateral incisor were removed, followed by socket preservation and fixed provisional restoration from right maxillary canine to left canine. Soft tissue was contoured to achieve ovate shape by first with a tooth-supported provisional restoration from the maxillary left canine to the right canine and then by re-shaping with carbide and diamond burs; after the tissue obtained the desired architecture, implants were inserted on sites of the maxillary right lateral incisor and left central lateral incisor without immediate loading, but the same provisional fixed restoration maintained the previously contour tissue. Once implant osseointegration was achieved, screw-retained provisional restoration was placed, followed by the definitive fixed implant restoration. Because the soft tissue was previously contoured, the screw-retained implant provisional restorations maintained the tissue architecture. These initial contouring procedures provided a more predictable outcome for the final tissue contour after implants were inserted. The final re-shaping with the implant screw-retained provisional restorations was minimum, and prostheses followed the previously provided tissue architecture. Before the endosteal implants are inserted, soft-tissue contouring prior to implant placement may provide a more predictable outcome of the final tissue architecture for pontic and implant areas. The patient and clinician can evaluate the success and limitations of tissue contouring prior to implant placement. It may also shorten the time required for tissue contouring with provisional implant restorations.

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