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.
Maksiller santral kesicidişin estetik rehabilitasyonu zorlu olabilir. Güvenilir ve başarılı bir sonuç elde etmede, uygun cerrahi model ve sistematik protetik yaklaşım kritiktir. Günümüzde, dental materyal teknolojisindeki hızlı gelişmeler, zirkonyum-oksit abutmentlar ve tam seramik sistemlerin tanıtımına da olanak sağladı. Bu vaka sunumunda, flepsiz cerrahi teknik ile sert ve yumuşak doku yapısınınkorunması, bununla birlikte, geçici ve daimi restorasyonlar ile estetik, marjinal ve biyolojik olarak uyumlu, hasta için uzun dönemli protetik tedavinin elde edilmesi anlatılmaktadır. 57 yaşında bayan hasta, maksiller sol santral dişin tedavisi için kliniğimize başvurdu. Konvansiyonel yöntemlerle tedavi edilemeyen diş çekilerek, bu bölgeye, flepsiz cerrahi teknik ile 4.1 mm. çapında kemik seviyesi implant, hedef servikal marjinin 2 mm. altında olacak şekilde yerleştirildi. İyileşmeyi takiben, doğal ve estetik gingiva konturlarının elde edilmesi için geçici vidalı abutment ve akrilik restorasyon uygulandı. Daimi restorasyon için ise zirkonyum-oksit abutment ve lityum-disilikat cam seramik porselen hazırlandı. Flepsiz cerrahi teknik ile beraber, yumuşak dokuların şekillenmesi amacıyla kullanılan geçici restorasyon, zirkonyum-oksit abutment ve tam seramik porselen ile multidisipliner tedavi yaklaşımı, estetiğin önemli olduğu bölgelerde mükemmel sonuçlar elde edilmesinde yararlı olabilir.
Primary Language | Turkish |
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Subjects | Health Care Administration |
Journal Section | Case Reports |
Authors | |
Publication Date | May 12, 2011 |
Submission Date | October 13, 2010 |
Published in Issue | Year 2011Volume: 14 Issue: 2 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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