Hard and Soft Tissue Management of a Localized Alveolar Ridge Atrophy with Autogenous Sources and Biomaterials: A Challenging Clinical Case
Identifieur interne : 000797 ( Main/Exploration ); précédent : 000796; suivant : 000798Hard and Soft Tissue Management of a Localized Alveolar Ridge Atrophy with Autogenous Sources and Biomaterials: A Challenging Clinical Case
Auteurs : C. Maiorana [Italie] ; D. Andreoni [Italie] ; P. P. Poli [Italie]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2016.
Abstract
Particularly in the premaxillary area, the stability of hard and soft tissues plays a pivotal role in the success of the rehabilitation from both a functional and aesthetic aspect. The present case report describes the clinical management of a localized alveolar ridge atrophy in the area of the upper right canine associated with a thin gingival biotype with a lack of keratinized tissue. An autogenous bone block harvested from the chin associated with heterologous bone particles was used to replace the missing bone, allowing for a prosthetic driven implant placement. Soft tissues deficiency was corrected by means of a combined epithelialized and subepithelial connective tissue graft. The 3-year clinical and radiological follow-up demonstrated symmetric gingival levels of the upper canines, with physiological peri-implant probing depths and bone loss. Thus, the use of autogenous tissues combined with biomaterials might be considered a reliable technique in case of highly aesthetic demanding cases.
Url:
DOI: 10.1155/2016/8468763
PubMed: 27738534
PubMed Central: 5050379
Affiliations:
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Maiorana</name><affiliation wicri:level="3"><nlm:aff id="I1">Oral Surgery and Center for Maxillary Atrophies, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, School of Dentistry, University of Milan, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Oral Surgery and Center for Maxillary Atrophies, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, School of Dentistry, University of Milan, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Andreoni, D" sort="Andreoni, D" uniqKey="Andreoni D" first="D." last="Andreoni">D. 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Poli</name><affiliation wicri:level="3"><nlm:aff id="I3">Center for Maxillary Atrophies, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Center for Maxillary Atrophies, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></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="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Particularly in the premaxillary area, the stability of hard and soft tissues plays a pivotal role in the success of the rehabilitation from both a functional and aesthetic aspect. The present case report describes the clinical management of a localized alveolar ridge atrophy in the area of the upper right canine associated with a thin gingival biotype with a lack of keratinized tissue. An autogenous bone block harvested from the chin associated with heterologous bone particles was used to replace the missing bone, allowing for a prosthetic driven implant placement. Soft tissues deficiency was corrected by means of a combined epithelialized and subepithelial connective tissue graft. The 3-year clinical and radiological follow-up demonstrated symmetric gingival levels of the upper canines, with physiological peri-implant probing depths and bone loss. Thus, the use of autogenous tissues combined with biomaterials might be considered a reliable technique in case of highly aesthetic demanding cases.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Milinkovic, I" uniqKey="Milinkovic I">I. Milinkovic</name></author><author><name sortKey="Cordaro, L" uniqKey="Cordaro L">L. Cordaro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cordaro, L" uniqKey="Cordaro L">L. Cordaro</name></author><author><name sortKey="Torsello, F" uniqKey="Torsello F">F. Torsello</name></author><author><name sortKey="Tindara Miuccio, M" uniqKey="Tindara Miuccio M">M. Tindara Miuccio</name></author><author><name sortKey="Di Torresanto, V M" uniqKey="Di Torresanto V">V. M. di Torresanto</name></author><author><name sortKey="Eliopoulos, D" uniqKey="Eliopoulos D">D. Eliopoulos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ersanli, S" uniqKey="Ersanli S">S. Ersanli</name></author><author><name sortKey="Arisan, V" uniqKey="Arisan V">V. Arisan</name></author><author><name sortKey="Bedelo Lu, E" uniqKey="Bedelo Lu E">E. Bedeloğlu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maiorana, C" uniqKey="Maiorana C">C. Maiorana</name></author><author><name sortKey="Beretta, M" uniqKey="Beretta M">M. Beretta</name></author><author><name sortKey="Salina, S" uniqKey="Salina S">S. Salina</name></author><author><name sortKey="Santoro, F" uniqKey="Santoro F">F. Santoro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, A" uniqKey="Lee A">A. Lee</name></author><author><name sortKey="Fu, J H" uniqKey="Fu J">J.-H. Fu</name></author><author><name sortKey="Wang, H L" uniqKey="Wang H">H.-L. Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Verdugo, F" uniqKey="Verdugo F">F. Verdugo</name></author><author><name sortKey="Simonian, K" uniqKey="Simonian K">K. Simonian</name></author><author><name sortKey="Frydman, A" uniqKey="Frydman A">A. Frydman</name></author><author><name sortKey="D Addona, A" uniqKey="D Addona A">A. D'Addona</name></author><author><name sortKey="Pont N, J" uniqKey="Pont N J">J. Pontón</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Levine, R A" uniqKey="Levine R">R. A. Levine</name></author><author><name sortKey="Huynh Ba, G" uniqKey="Huynh Ba G">G. Huynh-Ba</name></author><author><name sortKey="Cochran, D L" uniqKey="Cochran D">D. L. Cochran</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Seibert, J S" uniqKey="Seibert J">J. S. Seibert</name></author><author><name sortKey="Louis, J V" uniqKey="Louis J">J. V. Louis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stimmelmayr, M" uniqKey="Stimmelmayr M">M. Stimmelmayr</name></author><author><name sortKey="Guth, J F" uniqKey="Guth J">J.-F. Güth</name></author><author><name sortKey="Iglhaut, G" uniqKey="Iglhaut G">G. Iglhaut</name></author><author><name sortKey="Beuer, F" uniqKey="Beuer F">F. Beuer</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Italie</li></country><region><li>Lombardie</li></region><settlement><li>Milan</li></settlement></list><tree><country name="Italie"><region name="Lombardie"><name sortKey="Maiorana, C" sort="Maiorana, C" uniqKey="Maiorana C" first="C." last="Maiorana">C. Maiorana</name></region><name sortKey="Andreoni, D" sort="Andreoni, D" uniqKey="Andreoni D" first="D." last="Andreoni">D. Andreoni</name><name sortKey="Poli, P P" sort="Poli, P P" uniqKey="Poli P" first="P. P." last="Poli">P. P. Poli</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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