Immediate Provisionalization and Nonfunctional Loading of a Single Implant in the Maxillary Esthetic Zone: A Clinical Presentation and Parameters for Consideration
Identifieur interne : 000772 ( Ncbi/Merge ); précédent : 000771; suivant : 000773Immediate Provisionalization and Nonfunctional Loading of a Single Implant in the Maxillary Esthetic Zone: A Clinical Presentation and Parameters for Consideration
Auteurs : Konstantinos X. Michalakis [États-Unis, Grèce] ; Christos D. R. Kalpidis [Grèce] ; Yvone Kirmanidou [Grèce] ; Hiroshi Hirayama [États-Unis] ; Pasquale Lino Calvani [États-Unis, Italie] ; Argiris L. Pissiotis [Grèce]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2013.
Abstract
Restoration of single tooth loss with implant supported prosthesis is now considered a highly predictable treatment. However, the maxillary anterior region still presents a challenge for both the prosthodontist and the periodontist because of the inherent difficulties encountered in the provisionalization and harmonic incorporation of the definitive prosthesis into patient's dentogingival complex. This paper presents a clinical case of a single implant placed immediately after the extraction of a maxillary central incisor, followed by immediate provisionalization and nonfunctional loading. The surgical and the restorative techniques are described, and the parameters of consideration for this approach are presented.
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DOI: 10.1155/2013/378062
PubMed: 24383012
PubMed Central: 3870648
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Pissiotis</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Prosthodontics, Division of Removable Prosthodontics, Faculty of Dentistry, Aristotle University School of Health Sciences, 54124 Thessaloniki, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Prosthodontics, Division of Removable Prosthodontics, Faculty of Dentistry, Aristotle University School of Health Sciences, 54124 Thessaloniki</wicri:regionArea><wicri:noRegion>54124 Thessaloniki</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Private Practice Limited to Prosthodontics, 54622 Thessaloniki, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Private Practice Limited to Prosthodontics, 54622 Thessaloniki</wicri:regionArea><wicri:noRegion>54622 Thessaloniki</wicri:noRegion></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Restoration of single tooth loss with implant supported prosthesis is now considered a highly predictable treatment. However, the maxillary anterior region still presents a challenge for both the prosthodontist and the periodontist because of the inherent difficulties encountered in the provisionalization and harmonic incorporation of the definitive prosthesis into patient's dentogingival complex. This paper presents a clinical case of a single implant placed immediately after the extraction of a maxillary central incisor, followed by immediate provisionalization and nonfunctional loading. The surgical and the restorative techniques are described, and the parameters of consideration for this approach are presented.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Br Nemark, P I" uniqKey="Br Nemark P">P-I Brånemark</name></author><author><name sortKey="Hansson, Bo" uniqKey="Hansson B">BO Hansson</name></author><author><name sortKey="Adell, R" uniqKey="Adell R">R Adell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adell, R" uniqKey="Adell R">R Adell</name></author><author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name></author><author><name sortKey="Br Nemark, P I" uniqKey="Br Nemark P">P-I Brånemark</name></author><author><name sortKey="Rockler, B" uniqKey="Rockler B">B Rockler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Br Nemark, P I" uniqKey="Br Nemark P">P-I 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRIM.DENTISTRY</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24383012</article-id><article-id pub-id-type="pmc">3870648</article-id><article-id pub-id-type="doi">10.1155/2013/378062</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Immediate Provisionalization and Nonfunctional Loading of a Single Implant in the Maxillary Esthetic Zone: A Clinical Presentation and Parameters for Consideration</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Michalakis</surname><given-names>Konstantinos X.</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="aff" rid="I2"><sup>2</sup></xref><xref ref-type="aff" rid="I3"><sup>3</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Kalpidis</surname><given-names>Christos D. R.</given-names></name><xref ref-type="aff" rid="I4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Kirmanidou</surname><given-names>Yvone</given-names></name><xref ref-type="aff" rid="I5"><sup>5</sup></xref></contrib><contrib contrib-type="author"><name><surname>Hirayama</surname><given-names>Hiroshi</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Calvani</surname><given-names>Pasquale Lino</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="aff" rid="I6"><sup>6</sup></xref></contrib><contrib contrib-type="author"><name><surname>Pissiotis</surname><given-names>Argiris L.</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Division of Graduate and Postgraduate Prosthodontics, Tufts University School of Dental Medicine, Boston, MA 02111, USA</aff><aff id="I2"><sup>2</sup>Department of Prosthodontics, Division of Removable Prosthodontics, Faculty of Dentistry, Aristotle University School of Health Sciences, 54124 Thessaloniki, Greece</aff><aff id="I3"><sup>3</sup>Private Practice Limited to Prosthodontics, 54622 Thessaloniki, Greece</aff><aff id="I4"><sup>4</sup>Private Practice Limited to Periodontics, 54623 Thessaloniki, Greece</aff><aff id="I5"><sup>5</sup>Private Practice, 54622 Thessaloniki, Greece</aff><aff id="I6"><sup>6</sup>Private Practice Limited to Prosthodontics, 00198 Rome, Italy</aff><author-notes><corresp id="cor1">*Konstantinos X. Michalakis: <email>konstantinos.michalakis@tufts.edu</email></corresp><fn fn-type="other"><p>Academic Editors: M. N. de Araújo, T. Pereira-Cenci, and G. Schierano</p></fn></author-notes><pub-date pub-type="ppub"><year>2013</year></pub-date><pub-date pub-type="epub"><day>8</day><month>12</month><year>2013</year></pub-date><volume>2013</volume><elocation-id>378062</elocation-id><history><date date-type="received"><day>27</day><month>9</month><year>2013</year></date><date date-type="accepted"><day>20</day><month>10</month><year>2013</year></date></history><permissions><copyright-statement>Copyright © 2013 Konstantinos X. Michalakis et al.</copyright-statement><copyright-year>2013</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Restoration of single tooth loss with implant supported prosthesis is now considered a highly predictable treatment. However, the maxillary anterior region still presents a challenge for both the prosthodontist and the periodontist because of the inherent difficulties encountered in the provisionalization and harmonic incorporation of the definitive prosthesis into patient's dentogingival complex. This paper presents a clinical case of a single implant placed immediately after the extraction of a maxillary central incisor, followed by immediate provisionalization and nonfunctional loading. The surgical and the restorative techniques are described, and the parameters of consideration for this approach are presented.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Initial radiograph of maxillary left central incisor.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-378062.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>The maxillary left central incisor with a metal ceramic restoration. Its margins were placed on the underlying cast post and core.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-378062.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Atraumatic extraction of the maxillary left central incisor.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-378062.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Placement of an Osseotite NT implant in the extraction socket. The platform of the implant was placed 2 mm apically to the cementoenamel junction of the right maxillary central incisor.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-378062.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>Buccal bone deficiency filled with bovine bone material.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-378062.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Initial provisional PMMA acrylic resin crown.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-378062.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>The impression coping was modified with light-polymerizing resin material to register the peri-implant soft tissues.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-378062.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>The impression coping into the polyether impression material used. Note the amount of light-polymerizing resin material added to support the soft tissues.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-378062.008"></graphic></fig><fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label><caption><p>A new provisional crown was fabricated with light-polymerizing resin, in order to better support the soft tissue contours mesially and provide a better esthetic result.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-378062.009"></graphic></fig><fig id="fig10" orientation="portrait" position="float"><label>Figure 10</label><caption><p>Clinical view of the new provisional crown.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-378062.010"></graphic></fig><fig id="fig11" orientation="portrait" position="float"><label>Figure 11</label><caption><p>A definitive screw retained metal ceramic restoration was fabricated 6 months after implant placement.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-378062.011"></graphic></fig><fig id="fig12" orientation="portrait" position="float"><label>Figure 12</label><caption><p>Final radiograph obtained at 6 months after implant placement.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-378062.012"></graphic></fig><fig id="fig13" orientation="portrait" position="float"><label>Figure 13</label><caption><p>Clinical photograph of the definitive metal ceramic crown.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-378062.013"></graphic></fig><fig id="fig14" orientation="portrait" position="float"><label>Figure 14</label><caption><p>The ridge lap observed at the second provisional crown (down) was modified at the definitive crown (up) to facilitate better oral hygiene.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-378062.014"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Grèce</li><li>Italie</li><li>États-Unis</li></country><region><li>Latium</li><li>Massachusetts</li></region><settlement><li>Rome</li></settlement></list><tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Michalakis, Konstantinos X" sort="Michalakis, Konstantinos X" uniqKey="Michalakis K" first="Konstantinos X." last="Michalakis">Konstantinos X. Michalakis</name></region><name sortKey="Calvani, Pasquale Lino" sort="Calvani, Pasquale Lino" uniqKey="Calvani P" first="Pasquale Lino" last="Calvani">Pasquale Lino Calvani</name><name sortKey="Hirayama, Hiroshi" sort="Hirayama, Hiroshi" uniqKey="Hirayama H" first="Hiroshi" last="Hirayama">Hiroshi Hirayama</name></country><country name="Grèce"><noRegion><name sortKey="Michalakis, Konstantinos X" sort="Michalakis, Konstantinos X" uniqKey="Michalakis K" first="Konstantinos X." last="Michalakis">Konstantinos X. Michalakis</name></noRegion><name sortKey="Kalpidis, Christos D R" sort="Kalpidis, Christos D R" uniqKey="Kalpidis C" first="Christos D. R." last="Kalpidis">Christos D. R. Kalpidis</name><name sortKey="Kirmanidou, Yvone" sort="Kirmanidou, Yvone" uniqKey="Kirmanidou Y" first="Yvone" last="Kirmanidou">Yvone Kirmanidou</name><name sortKey="Michalakis, Konstantinos X" sort="Michalakis, Konstantinos X" uniqKey="Michalakis K" first="Konstantinos X." last="Michalakis">Konstantinos X. Michalakis</name><name sortKey="Pissiotis, Argiris L" sort="Pissiotis, Argiris L" uniqKey="Pissiotis A" first="Argiris L." last="Pissiotis">Argiris L. Pissiotis</name><name sortKey="Pissiotis, Argiris L" sort="Pissiotis, Argiris L" uniqKey="Pissiotis A" first="Argiris L." last="Pissiotis">Argiris L. Pissiotis</name></country><country name="Italie"><region name="Latium"><name sortKey="Calvani, Pasquale Lino" sort="Calvani, Pasquale Lino" uniqKey="Calvani P" first="Pasquale Lino" last="Calvani">Pasquale Lino Calvani</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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