Electronic ISSN 2287-0237

VOLUME

DENTAL IMPLANT FOR TEETH REPLACEMENT IN ESTHETIC ZONE

SEPTEMBER 2014 - VOL.8 | CASE REPORT

The replacement of multiple missing teeth in the anterior maxilla counts among the greatest challenges in dentistry. Implant-supported prosthesis has become the treatment of choice for a number of reasons. Most significant among these is its natural appearance and expected longevity. Although the results are easy to predict, the replacement of several missing anterior teeth can be difficult since it must meet functional requirements and satisfy patients’ demands in this highly esthetically visual area.

Keywords:

Dental Implant, Esthetic Zone 

MEDIA
Figure I:
Replacing multiple missing lower anterior and posterior teeth by removable partial denture
Figure IIA:
Replacing right central and lateral incisors by fixed bridge
Figure IIB:
Several adjacent (abutment) teeth; right canine, left central and lateral incisors, need to be prepared for supporting prosthetic (pontic) missing teeth
Figure III:
Bone deficiency prior to implant placement on maxillary right central incisor creates compromised soft tissue level and interdental papilla imperfection (black triangle space) between implant and adjacent teeth.
Figure IV:
Receded gingival soft tissue level after placing the implant on maxillary right central incisor
Figure V:
The gingival display is hidden behind the upper lip in patient with low smile line creating a satisfactory appearance
Figure VI:
Placing the implant too far apically and the mismatched porcelain natural shade of the implant restoration creates a compromised esthetic outcome on the maxillary right central incisor
Figure 1A-B:
After Orthodontic treatment, patient still has spaces of missing teeth area of maxillary left and right lateral incisors, and two mandibular incisors.
Figure 1C-D:
Four implants were placed in the missing area.
Figure 1E:
The gingival tissue has a satisfactory natural appearance after several months follow up
Figure 2A-B:
Inadequate bone width and height for ideal implant position in all three dimensions
Figure 2C:
Optimum implant positioning after the proper bony structure by bone grafting procedure
Figure 2D:
Satisfied soft tissue profile and restoration on the implant
Figure 3A:
Multiple missing teeth on maxillary left anterior to posterior teeth
Figure 3B-C:
Two implants were precisely placed at the lateral incisor and premolar sites to support a multiple unit fixed implant prosthesis
Figure 3D:
Radiographic examination revealing precisely parallel placement of implants
Figure 3E:
Clinically-acceptable function and esthetic result
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