J Dent Rehabil Appl Sci.  2015 Jun;31(2):126-133. 10.14368/jdras.2015.31.2.126.

Multidisciplinary approach of the problem of unaesthetic implants in the maxillary anterior dentition

• Joo JY
• Choi J
• Lee JY

• KMID: 2155039
• DOI: http://doi.org/10.14368/jdras.2015.31.2.126

Abstract

Periodontal tissue destroyed by inflammation is difficult to achieve regeneration of the tissue and esthetic restorations only by surgical methods. In particular, improvement of esthetics is more difficult if the problem is related to the implant. A 23 year old woman suffered from unesthetic anterior implant prosthesis. According to her dental history, a repeated bone graft and soft tissue graft failed at a local dental clinic. It was needed to resolve the inflammation and to improve the esthetics. A free gingival graft and ridge augmentation accompanied by guided bone regeneration and a vascularized interpositional periosteal connective tissue graft was performed. Instead of implant prosthesis, a conventional fixed bridge was adopted for better esthetic result. The patient was satisfied with the esthetic conventional fixed prosthesis. This case report introduces esthetic rehabilitation of unesthetic implant prosthetics in the maxillary anterior dentition by a combination of surgical and prosthetic approaches.

Keyword

alveolar ridge augmentation; implant supported dental prosthesis; peri-implantitis

MeSH Terms

Alveolar Ridge Augmentation
Bone Regeneration
Connective Tissue
Dental Clinics
Dental Prosthesis, Implant-Supported
Dentition*
Denture, Partial, Fixed
Esthetics
Female
Humans
Inflammation
Peri-Implantitis
Prostheses and Implants
Regeneration
Rehabilitation
Transplants