Correcting loss of a papilla following orthodontic space opening (Atherton´s patch) through implant supported rehabilitation. A case report
Identifieur interne : 000183 ( Pmc/Curation ); précédent : 000182; suivant : 000184Correcting 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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<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>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Exp Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">J Clin Exp Dent</journal-id>
<journal-id journal-id-type="publisher-id">Medicina Oral S.L.</journal-id>
<journal-title-group><journal-title>Journal of Clinical and Experimental Dentistry</journal-title>
</journal-title-group>
<issn pub-type="epub">1989-5488</issn>
<publisher><publisher-name>Medicina Oral S.L.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24596628</article-id>
<article-id pub-id-type="pmc">3935898</article-id>
<article-id pub-id-type="publisher-id">51281</article-id>
<article-id pub-id-type="doi">10.4317/jced.51281</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
<subj-group><subject>Implantology</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Correcting loss of a papilla following orthodontic space opening (Atherton´s patch) through implant supported rehabilitation. A case report</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Viña</surname>
<given-names>Jose</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Balaguer</surname>
<given-names>Jose</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martorell</surname>
<given-names>Luis</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Peñarrocha</surname>
<given-names>Miguel</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Master of Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia, Spain</aff>
<aff id="A2"><label>2</label>
Associate Professor of Oral Surgery. Professor of the Master in Oral Surgery and Implantology. Faculty of Medicine and Dentistry. University of Valencia. Valencia. Spain</aff>
<aff id="A3"><label>3</label>
Chairman of Oral Surgery, Director of the Master of Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia, Spain</aff>
<author-notes><corresp> Cirugía Bucal. Clínicas Odontológicas
Facultad de Medicina y Odontología
Universidad de Valencia
Gascó Oliag 1
46021, Valencia, Spain
, E-mail: <email>miguel.penarrocha@uv.es</email>
</corresp>
<fn id="FN1" fn-type="conflict"><p><bold>Conflict of interest statement:</bold>
The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.</p>
</fn>
</author-notes>
<pub-date pub-type="epub"><day>1</day>
<month>2</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="collection"><month>2</month>
<year>2014</year>
</pub-date>
<volume>6</volume>
<issue>1</issue>
<fpage>e100</fpage>
<lpage>e103</lpage>
<history><date date-type="accepted"><day>12</day>
<month>11</month>
<year>2013</year>
</date>
<date date-type="received"><day>6</day>
<month>9</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>Copyright: © 2014 Medicina Oral S.L.</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.5/"><license-p>This is an open-access article distributed under the terms of 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>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>
</abstract>
</article-meta>
</front>
</pmc>
</record>
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