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Correcting loss of a papilla following orthodontic space opening (Atherton´s patch) through implant supported rehabilitation. A case report.

Viña J, Balaguer J, Martorell L, Peñarrocha M - J Clin Exp Dent (2014)

Bottom Line: Tissue modeling through provisional crown was performed in order to create an ideal emergence profile with total papilla fill recorded at the Atherton´s patch area.Final screw retained CAD-CAM zirconia structure was place.Final follow up was performed 2 years after provisional crown placement, and total fill of both papilla, including at Atherton´s patch area, was recorded.

View Article: PubMed Central - PubMed

Affiliation: Master of Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia, Spain.

ABSTRACT
The objective of this case report is to describe a surgical and prosthetic technique to create a lost papilla following orthodontic space opening (Atherton´s patch) through implant supported rehabilitation. A switching platform implant was used to replace a left maxillary canine in a unitary interdental edentulous ridge with Atherton´s patch in the distal area of the upper lateral left incisor. The radiographic study revealed correct level of the interproximal bone of the adjacent teeth. A mucoperiosteal flap with crest incision and sulcular extension to the adjacent teeth was made. Special attention was paid to correct position of the implant and the distance (≥ 1.5 mm) between the platform and the roots of the adjacent teeth. A submerged technique was used. Tissue modeling through provisional crown was performed in order to create an ideal emergence profile with total papilla fill recorded at the Atherton´s patch area. Final screw retained CAD-CAM zirconia structure was place. Final follow up was performed 2 years after provisional crown placement, and total fill of both papilla, including at Atherton´s patch area, was recorded. Key words:Atherton´s patch, papilla, switching platform, implant and orthodontics, esthetic score.

No MeSH data available.


Related in: MedlinePlus

Clinical and radiografic examination. a) Intraoral view before orthodontic treatment with the absence of the left upper canine. b) Radiografic examination. Note the correct level of the interproximal bone of the adjacent teeth. c) Intraoral view after after interdental espace opening. Enough mesio-distal space was present. The Atherton´s patch is present at the distal aspect of the left upper lateral incisor. d) The panoramic radiographs shows correct level of the interproximal bone of the adjacent teeth.
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Figure 1: Clinical and radiografic examination. a) Intraoral view before orthodontic treatment with the absence of the left upper canine. b) Radiografic examination. Note the correct level of the interproximal bone of the adjacent teeth. c) Intraoral view after after interdental espace opening. Enough mesio-distal space was present. The Atherton´s patch is present at the distal aspect of the left upper lateral incisor. d) The panoramic radiographs shows correct level of the interproximal bone of the adjacent teeth.

Mentions: A 35 year-old female nonsmoker, without systemic diseases that could alter the tissue integration of dental implants presented for treatment in a university dental clinic. The patient had absence of the left upper canine (impacted tooth extracted in the past), and treatment plan involved orthodontic site development and implant supported rehabilitation (Fig. 1). After orthodontic treatment, where the left upper lateral incisor was moved mesially to open ideal space for implant restoration, clinical examination showed an Atherton´s patch at the distal area of the lateral incisor (Fig. 1). Enough mesio-distal space and bucco-palatal width were recorded. Radiographic examinations showed no interproximal bone loss adjacent to the teeth (Fig. 1).


Correcting loss of a papilla following orthodontic space opening (Atherton´s patch) through implant supported rehabilitation. A case report.

Viña J, Balaguer J, Martorell L, Peñarrocha M - J Clin Exp Dent (2014)

Clinical and radiografic examination. a) Intraoral view before orthodontic treatment with the absence of the left upper canine. b) Radiografic examination. Note the correct level of the interproximal bone of the adjacent teeth. c) Intraoral view after after interdental espace opening. Enough mesio-distal space was present. The Atherton´s patch is present at the distal aspect of the left upper lateral incisor. d) The panoramic radiographs shows correct level of the interproximal bone of the adjacent teeth.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3935898&req=5

Figure 1: Clinical and radiografic examination. a) Intraoral view before orthodontic treatment with the absence of the left upper canine. b) Radiografic examination. Note the correct level of the interproximal bone of the adjacent teeth. c) Intraoral view after after interdental espace opening. Enough mesio-distal space was present. The Atherton´s patch is present at the distal aspect of the left upper lateral incisor. d) The panoramic radiographs shows correct level of the interproximal bone of the adjacent teeth.
Mentions: A 35 year-old female nonsmoker, without systemic diseases that could alter the tissue integration of dental implants presented for treatment in a university dental clinic. The patient had absence of the left upper canine (impacted tooth extracted in the past), and treatment plan involved orthodontic site development and implant supported rehabilitation (Fig. 1). After orthodontic treatment, where the left upper lateral incisor was moved mesially to open ideal space for implant restoration, clinical examination showed an Atherton´s patch at the distal area of the lateral incisor (Fig. 1). Enough mesio-distal space and bucco-palatal width were recorded. Radiographic examinations showed no interproximal bone loss adjacent to the teeth (Fig. 1).

Bottom Line: Tissue modeling through provisional crown was performed in order to create an ideal emergence profile with total papilla fill recorded at the Atherton´s patch area.Final screw retained CAD-CAM zirconia structure was place.Final follow up was performed 2 years after provisional crown placement, and total fill of both papilla, including at Atherton´s patch area, was recorded.

View Article: PubMed Central - PubMed

Affiliation: Master of Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia, Spain.

ABSTRACT
The objective of this case report is to describe a surgical and prosthetic technique to create a lost papilla following orthodontic space opening (Atherton´s patch) through implant supported rehabilitation. A switching platform implant was used to replace a left maxillary canine in a unitary interdental edentulous ridge with Atherton´s patch in the distal area of the upper lateral left incisor. The radiographic study revealed correct level of the interproximal bone of the adjacent teeth. A mucoperiosteal flap with crest incision and sulcular extension to the adjacent teeth was made. Special attention was paid to correct position of the implant and the distance (≥ 1.5 mm) between the platform and the roots of the adjacent teeth. A submerged technique was used. Tissue modeling through provisional crown was performed in order to create an ideal emergence profile with total papilla fill recorded at the Atherton´s patch area. Final screw retained CAD-CAM zirconia structure was place. Final follow up was performed 2 years after provisional crown placement, and total fill of both papilla, including at Atherton´s patch area, was recorded. Key words:Atherton´s patch, papilla, switching platform, implant and orthodontics, esthetic score.

No MeSH data available.


Related in: MedlinePlus