J Korean Acad Prosthodont.  2017 Oct;55(4):403-409. 10.4047/jkap.2017.55.4.403.

Esthetic restoration in continuous maxillary anterior area using immediate implant placement: A case report

• Lee YC
• Shim JS
• Lee JH
• Lee KW

• KMID: 2393912
• DOI: http://doi.org/10.4047/jkap.2017.55.4.403

Abstract

In the case of an extraction in the maxillary anterior region, immediate placement of implant-supported fixed prosthesis can be considered as a treatment option. Fewer surgical operations, reduced treatment time, and optimal availability of existing bone are obvious advantages of the method; however, when applied in the continuous maxillary anterior region, inter-implant distance must be carefully considered, as well as accurate diagnosis and treatment planning for predictable outcome. In this case report, immediate placement of two implants in the continuous maxillary anterior along with bone graft following the extraction of root rests, and the restoration of provisional and implant-supported fixed prosthesis on a 63-year-old patient had resulted in both esthetically and functionally satisfactory clinical outcomes.

Keyword

Immediate placement; Implant supported fixed prosthesis; Esthetic restoration; Computer-aided design and computer-aided manufacturing

MeSH Terms

Diagnosis
Humans
Methods
Middle Aged
Prostheses and Implants
Transplants

Figure

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  Fig. 1 Oral and radiographic examination. (A) Periapical view, (B) Intraoral view

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  Fig. 2 Implant planning on onDemand 3D.

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  Fig. 3 (A) Occlusal view after implant surgery, (B) impression taking using impression jig for making provisional restoration.

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  Fig. 4 Designing provisional restoration on Exocad (A) mirroring of diagnostic cast, (B) modification of critical area & subcritical area (C) design of provisional restoration.

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  Fig. 5 Provisional restoration (A) contour of provisional restoration, (B) 2 month after delivery.

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  Fig. 6 (A) Customized impression coping, (B) Final impression.

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  Fig. 7 Shade selection (A) Tentative shade selection using Vita Easyshade compact, (B) Final shade selection using Vitapan 3D master.

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  Fig. 8 (A) Custom abutment design, (B) Final prosthesis.

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  Fig. 9 Final prosthesis delivery.

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