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Accurate registration of peri-implant soft tissues to create an optimal emergence profile.

Alshiddi IF, Dent DC - Contemp Clin Dent (2015)

Bottom Line: A 49-year-old male presented with missing right maxillary lateral incisor.Two months later, an indirect method was used to accurately transfer the soft peri-implant tissues to the master cast.This clinical technique minimizes surgical procedure and avoids the possibility of soft tissue collapsing that may occur during the impression procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia.

ABSTRACT
One of the challenges in restoring anterior space with implant restoration is maintaining the natural looking of peri-implant area. This case report presents a clinical procedure to create the soft tissue emergence profile for anterior maxillary teeth. A 49-year-old male presented with missing right maxillary lateral incisor. A provisional restoration was inserted 1 week after implant placement. Area of the provisional restoration related to the gingival tissue (transmucosal area) was adjusted to create an optimum emergence profile. Two months later, an indirect method was used to accurately transfer the soft peri-implant tissues to the master cast. This clinical technique minimizes surgical procedure and avoids the possibility of soft tissue collapsing that may occur during the impression procedure.

No MeSH data available.


Related in: MedlinePlus

Periapiacl rediograph: (a) Two months after extraction, (b) immediately before impalnt placement
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Figure 2: Periapiacl rediograph: (a) Two months after extraction, (b) immediately before impalnt placement

Mentions: Radiographic examination revealed a socket of recently extracted maxillary lateral incisor with bone level 2–3 mm below the cementoenamel junction (CEJ) of the adjacent teeth [Figure 2a]. Intra-oral examination revealed a fair oral hygiene with 1–2 mm recession of the gingival margin below the CEJ. The space available of the area related to maxillary lateral incisor was 6 mm mesio-distally and 7 mm interocclusal distance. Upon presentation of the various options of treatments, the patient opted to restore the space with implant treatment. Clinically, there was enough bone to place an implant size 3.5–4 mm. Radiographically, enough bone height was available to receive up to 13 mm implant. The decision was made to proceed with a single implant to restore the space of the maxillary right lateral incisor and to maintain and to create natural soft tissue contour and emergence profile around the tooth to improve esthetic.


Accurate registration of peri-implant soft tissues to create an optimal emergence profile.

Alshiddi IF, Dent DC - Contemp Clin Dent (2015)

Periapiacl rediograph: (a) Two months after extraction, (b) immediately before impalnt placement
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4374309&req=5

Figure 2: Periapiacl rediograph: (a) Two months after extraction, (b) immediately before impalnt placement
Mentions: Radiographic examination revealed a socket of recently extracted maxillary lateral incisor with bone level 2–3 mm below the cementoenamel junction (CEJ) of the adjacent teeth [Figure 2a]. Intra-oral examination revealed a fair oral hygiene with 1–2 mm recession of the gingival margin below the CEJ. The space available of the area related to maxillary lateral incisor was 6 mm mesio-distally and 7 mm interocclusal distance. Upon presentation of the various options of treatments, the patient opted to restore the space with implant treatment. Clinically, there was enough bone to place an implant size 3.5–4 mm. Radiographically, enough bone height was available to receive up to 13 mm implant. The decision was made to proceed with a single implant to restore the space of the maxillary right lateral incisor and to maintain and to create natural soft tissue contour and emergence profile around the tooth to improve esthetic.

Bottom Line: A 49-year-old male presented with missing right maxillary lateral incisor.Two months later, an indirect method was used to accurately transfer the soft peri-implant tissues to the master cast.This clinical technique minimizes surgical procedure and avoids the possibility of soft tissue collapsing that may occur during the impression procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia.

ABSTRACT
One of the challenges in restoring anterior space with implant restoration is maintaining the natural looking of peri-implant area. This case report presents a clinical procedure to create the soft tissue emergence profile for anterior maxillary teeth. A 49-year-old male presented with missing right maxillary lateral incisor. A provisional restoration was inserted 1 week after implant placement. Area of the provisional restoration related to the gingival tissue (transmucosal area) was adjusted to create an optimum emergence profile. Two months later, an indirect method was used to accurately transfer the soft peri-implant tissues to the master cast. This clinical technique minimizes surgical procedure and avoids the possibility of soft tissue collapsing that may occur during the impression procedure.

No MeSH data available.


Related in: MedlinePlus