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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

Cliniucal view for the provisional restoration
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Figure 4: Cliniucal view for the provisional restoration

Mentions: Before surgery, the patient received a session of prophylaxis with oral hygiene instruction. New periapiacl rediograph was taken [Figure 2b], and surgical placement of the implant completed using surgical splint. Single implant with 3.5 mm diameter and 13 mm height (replace select TiU NP, Nobel Biocare, Switzerland) was placed and covered with 3 mm height healing abutment [Figure 3]. One week later, the healing abutment was removed and replaced with an immediate temporary abutment with a plastic coping (Nobel Biocare, Switzerland). The temporary abutment was screwed to the implant, and a provisional crown was fabricated using temporization material (Pro temp, 3M ESPE, MN, USA) directly on the plastic coping. Area related to the gingival tissue (transmucosal area) was built up by adding composite resin (Filtek Z100, 3M ESPE, MN, USA). The composite resin has been added buccally and interproximally to gently push the soft tissue and create a concavity on the ridge area until the optimum esthetic result of the emergence profile achieved. Finishing and polishing were completed using finishing polishing discs (Sof-Lex, 3M ESPE, MN, USA), and the occlusal was adjusted to keep the provisional nonfunctional. Finally, the provisional crown was cemented using temporary cement (Temp Bond, Kerr, Bioggio, Switzerland), and it served as a guide for soft tissue healing [Figure 4].


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

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

Cliniucal view for the provisional restoration
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Cliniucal view for the provisional restoration
Mentions: Before surgery, the patient received a session of prophylaxis with oral hygiene instruction. New periapiacl rediograph was taken [Figure 2b], and surgical placement of the implant completed using surgical splint. Single implant with 3.5 mm diameter and 13 mm height (replace select TiU NP, Nobel Biocare, Switzerland) was placed and covered with 3 mm height healing abutment [Figure 3]. One week later, the healing abutment was removed and replaced with an immediate temporary abutment with a plastic coping (Nobel Biocare, Switzerland). The temporary abutment was screwed to the implant, and a provisional crown was fabricated using temporization material (Pro temp, 3M ESPE, MN, USA) directly on the plastic coping. Area related to the gingival tissue (transmucosal area) was built up by adding composite resin (Filtek Z100, 3M ESPE, MN, USA). The composite resin has been added buccally and interproximally to gently push the soft tissue and create a concavity on the ridge area until the optimum esthetic result of the emergence profile achieved. Finishing and polishing were completed using finishing polishing discs (Sof-Lex, 3M ESPE, MN, USA), and the occlusal was adjusted to keep the provisional nonfunctional. Finally, the provisional crown was cemented using temporary cement (Temp Bond, Kerr, Bioggio, Switzerland), and it served as a guide for soft tissue healing [Figure 4].

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