Measurements of Tooth Movements in Relation to Single-Implant Restorations during 16 Years: A Case Report

Intense forces are naturally downloading on molar roots. Due to inflammation, the post-extraction sockets of the upper molars are often poor of bone on one side. A single implant supporting a prosthetic crown can easily go subject to displacing forces that reabsorbed and recently healed bone can hardly bear. By utilizing a couple of prosthetic roots, i.e.: one screw implant in the side in which bone is richer and one blade implant in the side in which the bony wall has gone subject to reabsorption, it is possible to build a better supported prosthetic crown. The clinical cases performed by the Authors confirm the validity of this implant architecture. Aim of the work is to describe a post-extraction multi-modal implantological technique useful for replacing the roots of upper molars with poor bone support on one side. Materials and Methods: Combination of submerged screw implant and submerged blade implant or emergent screw implant and emergent blade implant welded intraorally. Discussion: The combination of a palatal screw implant and a buccal blade implant, or vice versa, allowed to solve clinical cases and to make reliable prosthetic crowns. Conclusions: The presence of variable residual anatomies in the molar area of the upper jaw recommends the use of morphologically different implant shapes, suitable for the construction of a biomechanically functional prosthetic abutment. Specifically in the presence of bone resorption, the combination of a screw implant and a blade implant allowed us to obtain a reliable abutment. Given the small number of cases performed, further research will confirm the positive results of this technique.

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Esthetic Dentistry in Patients with Bilaterally Missing Maxillary Lateral Incisors: A Multidisciplinary Case Report

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1326 ◽

2013 ◽

Vol 14 (2) ◽

pp. 348-354 ◽

Cited By ~ 2

Author(s):

KV Baburam Reddy ◽

CH Hanumantha Rao ◽

Bhaskar Mummidi ◽

A Laxmi Prasanna ◽

M Vijay ◽

...

Keyword(s):

Case Report ◽

Interdisciplinary Approach ◽

Treatment Modalities ◽

Planning Problem ◽

Tooth Structure ◽

Space Closure ◽

Treatment Plans ◽

Esthetic Dentistry ◽

Congenitally Missing ◽

Single Implant

ABSTRACT Congenitally missing maxillary lateral incisors pose a difficult esthetic and treatment planning problem for clinicians. Age, location, space limitations, alveolar ridge deficiencies, uneven gingival margins, occlusion and periodontal factors often necessitate an interdisciplinary approach. Over the last several decades, dentistry has focused various treatment modalities for replacement of missing teeth. Treatment plans for patients with missing maxillary lateral incisors have traditionally included either space closure or space reopening. To remove healthy tooth structure of adjacent teeth to replace a tooth, for some patients and dentists, is a very aggressive treatment option which eliminates the option of three unit bridges. Removable partial dentures are also not preferred for its bulkiness and reduced esthetics. Presently, the single implant supported crown is a predictable method of tooth replacement in adolescents. The aim of this case report is to provide a conservative method for the management of bilateral missing lateral incisor. How to cite this article Mummidi B, Rao CHH, Prasanna AL, Vijay M, Reddy KVB, Raju MAKV. Esthetic Dentistry in Patients with Bilaterally Missing Maxillary Lateral Incisors: A Multidisciplinary Case Report. J Contemp Dent Pract 2013;14(2):348-354.

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