Maksiller santral kesici dişin flepsiz cerrahi teknik, zirkonyum abutment ve tam seramik kron ile estetik rehabilitasyonu
Abstract
Aesthetic rehabilitation of a maxillary central incisor can be a challenge. A proper surgical treatment modality and a systematic prosthodontic approach with the advanced dental materials are
essential in achieving a predictable and a successful outcome. Recently, advances in dental materials technology have led to the introduction of zirconium-oxide abutments in conjunction with
all-ceramic restorations. This case report presents how a flapless surgical technique can maintain a natural hard and soft tissue architecture, whilst a provisional and a final restoration allow for an aesthetic, precise-fitting, biocompatible and a strong definitive prosthesis for the patient with good longevity. A 57 year-old female patient with a hopeless maxillary left central incisor requested dental therapy. The central incisor was atraumatically extracted and a 4.1-mm-diameter bone level implant was placed approximately 2 mm below the cemento-enamel junction of the future cervical margin. After the healing time, a screw-retained provisional restoration was used to achieve natural and aesthetic gingival contours. Prefabricate zirconium abutment and lithiumdisilicate glass ceramic crown were used for the final rehabilitation. As a result, a flapless surgical technique along with a zirconium abutment and a full-ceramic crown combining with soft tissue contouring procedure through the use of provisional restoration may be beneficial in achieving excellent results in an aesthetically demanding area.
Keywords
References
- Mahn DH, Polack MA. Esthetic rehabilitation of maxillary incisors in conjunction with flapless surgical techniques, an implant zirconia crown, and porcelain veneers. J Esthet Restor Dent 2009;21:294-302.
- Schneider R. Implant replacement of the maxillary central incisor utilizing a (Thommen SPI ART) and ceramic restoration. J Esthet Restor Dent ;20:21-27. abutment Petrungaro PS. Immediate restoration of implants utilizing a flapless approach to preserve interdental tissue contours. Pract Proced Aesthet Dent 2005;17:151-158. Saadoun AP, Le Gall MG.
- Periodontal implications in implant treatment planning for aesthetic results. Pract Periodontics Aesthet Dent 1998;10:655-664. Kan JY, Rungcharassaeng K. Immediate provisionalizaton anterior single implants: a surgical and prosthetic rationale. Periodontics ;12:817-824. of maxillary Pract Dent Aesthet
- Park SE, Da Silva JD, Weber HP, Ishikawa-Nagai phenomenon of peri-implant soft tissue. Part I. Spectrophotometric assessment of natural tooth gingiva and peri-implant mucosa. Clin Oral Implants Res 2007;18:569-574.
- Glauser R, Sailer I, Wohlwend A, Studer S, Schibli M, Schärer P. Experimental zirconia abutments for implant-supported restorations single-tooth demanding regions: 4-year results of a prospective clinical study. Int J Prosthodont 2004;17:285-290.
- Yildirim M, Edelhoff D, Hanisch O, Spiekermann H. Ceramic abutments - a new era in achieving optimal esthetics in implant dentistry. Int J Periodontics ;20:81-91. Dent Jemt T. Modified single and short- span restorations supported by osseointegrated fixtures in the partially edentulous jaw. J Prosthet Dent 1986;55:243-247.
- Sadoun M, Perelmuter S. Alumina- zirconia machinable abutments for implant-supported anterior crowns. Pract Periodontics Aesthet Dent 1997;9:1047-1053.
- Vigolo P, Fonzi F, Majzoub Z, Cordioli G. An in vitro evaluation of titanium, zirconia, and alumina procera abutments with hexagonal connection. Int J Oral Maxillofac Implants 2006;21:575-580.
Details
Primary Language
Turkish
Subjects
Health Care Administration
Journal Section
Research Article
Authors
Publication Date
May 12, 2011
Submission Date
October 13, 2010
Acceptance Date
-
Published in Issue
Year 1970 Volume: 14 Number: 2