Redefining Esthetics: The Implant Way

AbstractAlteration in conventional techniques in anterior maxilla is essential for making a restoration look more natural and harmonious with the rest of the mouth, as this area is more prone to aesthetic failure. The visibility of anterior crowns is obviously more, making it necessary for a restoration to blend with the natural dentition. This makes a person’s smile more pleasant and aesthetic. Proper risk assessment must be considered while placing implants in anterior maxillary region as any deficiency in bone and soft tissue could compromise the aesthetics as well as overall success of a dental implant restoration. Timing of implant placement also plays a crucial role in providing aesthetic success in this region. This article presents a case where implant placement is done, enhancing the aesthetics as well as function in the anterior maxillary region.

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Immediate Loading of Single Post-Extractive Implants in the Anterior Maxilla: 12-Month Results From a Multicenter Clinical Study

Journal of Oral Implantology ◽

10.1563/aaid-joi-d-11-00058 ◽

2012 ◽

Vol 38 (S1) ◽

pp. 477-484 ◽

Cited By ~ 4

Author(s):

Tommaso Grandi ◽

Giovanna Garuti ◽

Rawad Samarani ◽

Paolo Guazzi ◽

Andrea Forabosco

Keyword(s):

Clinical Study ◽

Soft Tissue ◽

Bone Resorption ◽

Tooth Extraction ◽

Immediate Loading ◽

Insertion Torque ◽

Anterior Maxilla ◽

Implant Placement ◽

Implant Size ◽

Multicenter Clinical Study

The purpose of the study was to evaluate survival and peri-implant bone levels of single, immediately loaded post-extractive implants in the anterior maxilla 12 months after implant placement. Thirty-six consecutive patients from 3 study centers were included in the study. The concerned sites were upper premolars, canines, and incisors. For each patient the following data were recorded: reason for tooth extraction, bone quality, implant size, and final insertion torque. Implants were placed using a flapless technique and immediately loaded with a nonoccluding temporary restoration. Final restorations were provided 4 months later. Peri-implant bone resorption was evaluated radiographically after 6 and 12 months. The average final insertion torque was 70.55 Ncm. One implant inserted in D3 quality bone with a 35-Ncm seating torque was lost. All other implants had a final insertion torque ranging between 50 and 80 Ncm. The average peri-implant bone loss was 0.437 and 0.507 mm at 6 and 12 months, respectively. All the sites maintained excellent papillae and peri-implant soft-tissue conditions. The resulting 1-year success rate was 97.2%. Immediate nonfunctional loading of single post-extractive implants in the anterior maxilla is a predictable treatment. And it seems that achieving high insertion torques by placing self-tapping/self-condensing implants in an underprepared osteotomy is favorable.

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“THE PROSTHODONTIC TREATMENT OF UNFAVOURABLE POSITIONED IMPLANT IN ANTERIOR MAXILLA”- A CASE REPORT.

10.36106/ijsr/6315346 ◽

2021 ◽

pp. 29-30

Author(s):

Deepika Sharma ◽

Tarun Gaur ◽

Karunakaran Keshav

Keyword(s):

Case Report ◽

Dental Implant ◽

Treatment Option ◽

Successful Treatment ◽

Bone Thickness ◽

Facial Bone ◽

Anterior Maxilla ◽

Implant Placement ◽

Good Treatment Option ◽

Implant Treatment

With the advancement in the dental implant treatment, many new innovative improvements have been developed in the designs and components of implants. These improvements helps to handle the compromising situations where sometimes the good treatment option can become more challenging. One of the such grueling condition is implant placement in the anterior maxilla where dentist has to fulll both aesthetic and functional demand. Many aesthetic failures of implant have been reported in the literature in the anterior maxilla. One of them is placing implant in sites with deciency of facial bone thickness which sometimes resulted in malposition of implant. This case report discusses about the prosthodontic correction of malpositioned implant in the anterior maxilla by using castable abutment. The use of castable abutment is concluded as successful treatment option for complex misaligned and malposed single dental implant.

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Use of CAD/CAM Healing Abutment Immediately After Dental Implant Placement for the Non-Esthetic Zone: A Guided Soft Tissue Healing Technique

Journal of Oral Implantology ◽

10.1563/aaid-joi-d-14-00228 ◽

2016 ◽

Vol 42 (2) ◽

pp. 189-193 ◽

Cited By ~ 6

Author(s):

Periklis Proussaefs

Keyword(s):

Soft Tissue ◽

Dental Implant ◽

Soft Tissue Healing ◽

Implant Placement ◽

Tissue Healing ◽

Cad Cam

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Restoration of the Soft-tissue Margin in Single-tooth Implant in the Anterior Maxilla

Journal of Oral Implantology ◽

10.1563/0-790.1 ◽

2006 ◽

Vol 32 (6) ◽

pp. 286-290 ◽

Cited By ~ 10

Author(s):

Jamil Awad Shibli ◽

Susana d'Avila

Keyword(s):

Soft Tissue ◽

Connective Tissue ◽

Surgical Techniques ◽

Soft Tissue Defect ◽

Anterior Maxilla ◽

Grafting Technique ◽

Single Tooth ◽

Implant Restoration ◽

Tissue Grafts ◽

Single Tooth Implant

Abstract Esthetic requirements for dental implant restoration have arisen in recent years. Despite several surgical techniques that have been developed, the treatment of the peri-implant soft-tissue defect is still difficult. The purpose of this clinical article is to describe a grafting technique using subepithelial connective tissue grafts to recontour soft-tissue margin discrepancy for single-tooth implant restorations in the anterior maxilla. After 2-year follow-up, this procedure shows that the use of connective tissue grafts can be a predictable approach to establish new and stable peri-implant soft-tissue margin.

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