Restoration of Missing Upper Anterior Teeth Using Dental Implant: A Case Report

Authors

  • Jarupat Jundaeng Dental Department, Wanghin Hospital

Keywords:

dental implant, ridge deficiency, bone augmentation, esthetic zone

Abstract

A 44-year-old Thai female patient with a removable denture came to see a dentist at WangHin Hospital, SisaketProvince, for a dental implant consultation. The patient had a history of having the upper anterior teeth extracted ayear ago due to a car accident. Upon the oral and the radiographic examinations, the upper right central and lateralincisors were absent, and a minor alveolar bone resorption and ridge deficiency were found. However, the woundis completely healed. Since this area is an esthetic zone, a treatment plan was made and practiced using a surgicaldental implant placement with the papilla preservation flap technique along with the bone augmentation usingalloplast. This treatment was done to prevent peri-implant bone resorption and create the emergence profile ofsurrounding the soft tissue contour, then the final restoration with crowns was done. After 3 months of treatment,it was found that the patient had a good oral hygiene and a normal surrounding gingiva. In addition, the alignment,color, and contour of the crowns harmonized with the natural teeth. In conclusion, the restoration of missing upperanterior teeth using dental implant and bone augmentation was one of the treatment choices that can solve theproblem in patients with alveolar ridge deficiency. It can also improve the patient’s occlusion function and estheticpersonality as well.

References

Tarnow DP, Cho SC, Wallace SS. The effect of inter-implantdistance on the height of inter-implant bone crest. J Periodontol2000; 71:546-9.

Buser D, Chappuis V, Kuchler U, Bornstein MM, Wittneben JG,Buser R, et al. Long-term stability of early implant placementwith contour augmentation. J Dent Res 2013; 92:176S-182S

Buser D, Chen ST, Weber HP, Belser UC. Early implant placementfollowing single tooth extraxtion in the esthetic zone: biologicrationale and surgical procedures. Int J Periodontics RestorativeDent 2008; 28:441-51.

Watzek G, Weber R, Bernhart T, Ulm C, Haas R. Treatmentof patients with extreme maxillary atrophy using sinus flooraugmentation and implants: preliminary results. Int J OralMaxillofac Surg 1998; 27:428-34.

Pirker W, Kocher A. Immediate, nonsubmerged, root-analoguezirconia implant in single tooth replacement. Int J Oral MaxillofacSurg 2008; 37:293-5.

Chapple ILC, Mealey BL, Van Dyke TE, Bartold PM, DommischH, Eickholz P, et al. Periodontal health and gingival diseasesand conditions on an intact and a reduced periodontium:Consensus report of workgroup 1 of the 2017 World Workshopon the Classifcation of Periodontal and Peri-Implant Diseasesand Conditions. J Clin Periodontol 2018; 45:S68-S77.

Seibert JS. Reconstruction of deformed, partially edentulousridges, using full thickness onlay grafts. Part II. Prosthetic/periodontal interrelationships. Compend Contin Educ Dent1983; 4:549-62.

Santagata M, Guariniello L, D’Andrea A, Tartaro G. A modifedcrestal ridge expansion technique for immediate placementof implant: a report of three cases. J Oral Implantol 2008; 34:319-24.

Takei HH, Han TJ, Carranza FA Jr, Kenny EB, Lekovic V. Flaptechnique for periodontal bone implants. Papilla preservationtechnique. J Periodontol 1985; 56:204-10.

Tarnow DP, Cho SC, Wallace SS. The effect of inter-implantdistance on the height of inter-implant bone crest. J Periodontol2000; 71:546-9.

Ibanez JC, Tahhan MJ, Zarma JA. Performance of doubleacid-etched surface external hex titanium implants in relationto one and two-stage surgical procedures. J Periodontol 2003;74:1575-81.

Sullivan D, Vincenzi G, Feldman S. Early Loading of Osseotiteimplants two months after placement in the maxilla andmandible: a 5-year report. Int J Oral Maxillofac Implants 2005;20:905-15.

Han TJ, Klokkevold PR, Takei HH. Strip gingival autograft usedto correct mucogingival problems around implants. Int JPeriodontics Restorative Dent 1995; 15:404-11.

Chung DM, Oh TJ, Shotwell JL, Misch CE, Wang HL. Signifcanceof keratinized mucosa in maintenance of dental implants withdifferent surfaces. J Periodontol 2006; 77:1410-20.

van Steenberghe D. Periodontal aspects of osseointegratedoral implants modum Branemark. Dent Clin North Am 1988; 32:355-70.

Palacci P. Esthetic Implant Dentistry, Soft and Hard TissueManagement. Quintessence Publishing 2001.

Wazen JJ, Gupta R, Ghossaini S, Spitzer J, Farrugia M, Tjellstrom A.Osseointegration timing for Baha system loading. Laryngoscope2007; 117:794-6.

Duyck J, Naert I. Failure of oral implants: aetiology, symptomsand influencing factors. Clin Oral Invest 1998; 2:102-14.

Rangert B, Krogh PH, Langer B, van Roekel N. Bening overloadand implant failure: a retrospective clinical analysis. In J OralMaxillofac Implants 1995; 10:326-34.

Wilson DJ. Ridge mapping for determination of alveolar ridgewidth. Int J Oral Maxillofac Implants 1989; 4:41-3.

Downloads

Published

28-12-2022

How to Cite

1.
Jundaeng J. Restoration of Missing Upper Anterior Teeth Using Dental Implant: A Case Report. J DMS [Internet]. 2022 Dec. 28 [cited 2024 Dec. 22];47(4):138-46. Available from: https://he02.tci-thaijo.org/index.php/JDMS/article/view/258310