Correcting loss of a papilla following orthodontic space opening (Atherton´s patch) through implant supported rehabilitation. A case report
Identifieur interne : 000899 ( Main/Curation ); précédent : 000898; suivant : 000900Correcting loss of a papilla following orthodontic space opening (Atherton´s patch) through implant supported rehabilitation. A case report
Auteurs : Jose Vi A [Espagne] ; Jose Balaguer ; Luis Martorell [Espagne] ; Miguel Pe Arrocha [Espagne]Source :
- Journal of Clinical and Experimental Dentistry [ 1989-5488 ] ; 2014.
Abstract
The objective of this case report is to describe a surgical and prosthetic technique to create a lost papilla following orthodontic space opening (Atherton´s patch) through implant supported rehabilitation. A switching platform implant was used to replace a left maxillary canine in a unitary interdental edentulous ridge with Atherton´s patch in the distal area of the upper lateral left incisor. The radiographic study revealed correct level of the interproximal bone of the adjacent teeth. A mucoperiosteal flap with crest incision and sulcular extension to the adjacent teeth was made. Special attention was paid to correct position of the implant and the distance (≥ 1.5 mm) between the platform and the roots of the adjacent teeth. A submerged technique was used. Tissue modeling through provisional crown was performed in order to create an ideal emergence profile with total papilla fill recorded at the Atherton´s patch area. Final screw retained CAD-CAM zirconia structure was place. Final follow up was performed 2 years after provisional crown placement, and total fill of both papilla, including at Atherton´s patch area, was recorded.
Url:
DOI: 10.4317/jced.51281
PubMed: 24596628
PubMed Central: 3935898
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Faculty of Medicine and Dentistry. University of Valencia. Valencia. Spain</nlm:aff></affiliation></author><author><name sortKey="Martorell, Luis" sort="Martorell, Luis" uniqKey="Martorell L" first="Luis" last="Martorell">Luis Martorell</name><affiliation wicri:level="1"><nlm:aff id="A1">Master of Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Master of Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Pe Arrocha, Miguel" sort="Pe Arrocha, Miguel" uniqKey="Pe Arrocha M" first="Miguel" last="Pe Arrocha">Miguel Pe Arrocha</name><affiliation wicri:level="1"><nlm:aff id="A3">Chairman of Oral Surgery, Director of the Master of Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Chairman of Oral Surgery, Director of the Master of Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24596628</idno><idno type="pmc">3935898</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935898</idno><idno type="RBID">PMC:3935898</idno><idno type="doi">10.4317/jced.51281</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000183</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000183</idno><idno type="wicri:Area/Pmc/Curation">000183</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000183</idno><idno type="wicri:Area/Pmc/Checkpoint">000394</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000394</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000C65</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000C65</idno><idno type="wicri:Area/PubMed/Curation">000C65</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000C65</idno><idno type="wicri:Area/PubMed/Checkpoint">000C65</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000C65</idno><idno type="wicri:Area/Ncbi/Merge">000A26</idno><idno type="wicri:Area/Ncbi/Curation">000A26</idno><idno type="wicri:Area/Ncbi/Checkpoint">000A26</idno><idno type="wicri:Area/Main/Merge">000901</idno><idno type="wicri:Area/Main/Curation">000899</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Correcting loss of a papilla following orthodontic space opening (Atherton´s patch) through implant supported rehabilitation. A case report</title><author><name sortKey="Vi A, Jose" sort="Vi A, Jose" uniqKey="Vi A J" first="Jose" last="Vi A">Jose Vi A</name><affiliation wicri:level="1"><nlm:aff id="A1">Master of Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Master of Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Balaguer, Jose" sort="Balaguer, Jose" uniqKey="Balaguer J" first="Jose" last="Balaguer">Jose Balaguer</name><affiliation><nlm:aff id="A2">Associate Professor of Oral Surgery. Professor of the Master in Oral Surgery and Implantology. Faculty of Medicine and Dentistry. University of Valencia. Valencia. Spain</nlm:aff></affiliation></author><author><name sortKey="Martorell, Luis" sort="Martorell, Luis" uniqKey="Martorell L" first="Luis" last="Martorell">Luis Martorell</name><affiliation wicri:level="1"><nlm:aff id="A1">Master of Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Master of Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Pe Arrocha, Miguel" sort="Pe Arrocha, Miguel" uniqKey="Pe Arrocha M" first="Miguel" last="Pe Arrocha">Miguel Pe Arrocha</name><affiliation wicri:level="1"><nlm:aff id="A3">Chairman of Oral Surgery, Director of the Master of Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Chairman of Oral Surgery, Director of the Master of Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Clinical and Experimental Dentistry</title><idno type="eISSN">1989-5488</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The objective of this case report is to describe a surgical and prosthetic technique to create a lost papilla following orthodontic space opening (Atherton´s patch) through implant supported rehabilitation.
A switching platform implant was used to replace a left maxillary canine in a unitary interdental edentulous ridge with Atherton´s patch in the distal area of the upper lateral left incisor. The radiographic study revealed correct level of the interproximal bone of the adjacent teeth. A mucoperiosteal flap with crest incision and sulcular extension to the adjacent teeth was made. Special attention was paid to correct position of the implant and the distance (≥ 1.5 mm) between the platform and the roots of the adjacent teeth. A submerged technique was used. Tissue modeling through provisional crown was performed in order to create an ideal emergence profile with total papilla fill recorded at the Atherton´s patch area. Final screw retained CAD-CAM zirconia structure was place. Final follow up was performed 2 years after provisional crown placement, and total fill of both papilla, including at Atherton´s patch area, was recorded.
</p><p><bold> Key words:</bold>Atherton´s patch, papilla, switching platform, implant and orthodontics, esthetic score.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Atherton J Gingival Response To Orthodontic Tooth, Movement" uniqKey="Atherton J Gingival Response To Orthodontic Tooth M">movement Atherton J: Gingival response to orthodontic tooth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Belser, Uc" uniqKey="Belser U">UC Belser</name></author><author><name sortKey="Grutter, L" uniqKey="Grutter L">L Grütter</name></author><author><name sortKey="Vailati, F" uniqKey="Vailati F">F Vailati</name></author><author><name sortKey="Bornstein, Mm" uniqKey="Bornstein M">MM Bornstein</name></author><author><name sortKey="Weber, Hp" uniqKey="Weber H">HP Weber</name></author><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kokich, Vg" uniqKey="Kokich V">VG Kokich</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Choquet, V" uniqKey="Choquet V">V Choquet</name></author><author><name sortKey="Hermans, M" uniqKey="Hermans M">M Hermans</name></author><author><name sortKey="Adriaenssens, P" uniqKey="Adriaenssens P">P Adriaenssens</name></author><author><name sortKey="Daelemans, P" uniqKey="Daelemans P">P Daelemans</name></author><author><name sortKey="Tarnow, Dp" uniqKey="Tarnow D">DP Tarnow</name></author><author><name sortKey="Malevez, C" uniqKey="Malevez C">C Malevez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kan, Jy" uniqKey="Kan J">JY Kan</name></author><author><name sortKey="Rungcharassaeng, K" uniqKey="Rungcharassaeng K">K Rungcharassaeng</name></author><author><name sortKey="Umezu, K" uniqKey="Umezu K">K Umezu</name></author><author><name 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sortKey="Belser, Uc" uniqKey="Belser U">UC Belser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Canullo, L" uniqKey="Canullo L">L Canullo</name></author><author><name sortKey="Iannello, G" uniqKey="Iannello G">G Iannello</name></author><author><name sortKey="Gotz, W" uniqKey="Gotz W">W Götz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, Dw" uniqKey="Lee D">DW Lee</name></author><author><name sortKey="Park, Kh" uniqKey="Park K">KH Park</name></author><author><name sortKey="Moon, Is" uniqKey="Moon I">IS Moon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey=" Palacci, P" uniqKey=" Palacci P">P Palacci </name></author><author><name sortKey=" Ericsson, I" uniqKey=" Ericsson I">I Ericsson </name></author><author><name sortKey=" Engstrand, P" uniqKey=" Engstrand P">P Engstrand </name></author><author><name sortKey=" Rangert, B" uniqKey=" Rangert B">B Rangert </name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="El Salam El Askary, A" uniqKey="El Salam El Askary A">A El-Salam El-Askary</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Azzi, R" uniqKey="Azzi R">R Azzi</name></author><author><name sortKey="Etienne, D" uniqKey="Etienne D">D Etienne</name></author><author><name sortKey="Takei, H" uniqKey="Takei H">H Takei</name></author><author><name sortKey="Fenech, P" uniqKey="Fenech P">P Fenech</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Misch, Ce" uniqKey="Misch C">CE Misch</name></author><author><name sortKey="Al Shammari, Kf" uniqKey="Al Shammari K">KF Al-Shammari</name></author><author><name sortKey="Wang, Hl" uniqKey="Wang H">HL Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pradeep, Ar" uniqKey="Pradeep A">AR Pradeep</name></author><author><name sortKey="Karthikeyan, Bv" uniqKey="Karthikeyan 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