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Prosthetic Management of an Extensive Maxillary Alveolar Defect with an Implant-Supported Restoration

Identifieur interne : 001844 ( Pmc/Checkpoint ); précédent : 001843; suivant : 001845

Prosthetic Management of an Extensive Maxillary Alveolar Defect with an Implant-Supported Restoration

Auteurs : Fariborz Saadat [Iran] ; Ramin Mosharraf [Iran]

Source :

RBID : PMC:4264098

Abstract

Despite the recent developments in peri-implant surgical regenerative procedures, re-establishing the hard and soft tissue contour is still a challenge in cases with severe ridge deficiency. It becomes more difficult when incorrectly placed implants cause screw connections to come out onto the labial surfaces of the teeth. A two-part maxillary implant supported fixed restoration was constructed. The first part was consisted of a screw retained sub-structure that replaced gingival portions of the deficient maxilla and the second part was a cement retained super-structure that reconstructed the anatomical crowns of the lost teeth. In this way awkwardly placed implants did not interfere with the desired esthetic result. Another great advantage was that the alterations or repairs on cemented crowns can easily be carried out without compromising the entire construction.


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PubMed: 25512753
PubMed Central: 4264098


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PMC:4264098

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<nlm:aff id="aff1">Prosthodontist, Dental Implant Research Center, Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran</nlm:aff>
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<p>Despite the recent developments in peri-implant surgical regenerative procedures, re-establishing the hard and soft tissue contour is still a challenge in cases with severe ridge deficiency. It becomes more difficult when incorrectly placed implants cause screw connections to come out onto the labial surfaces of the teeth. A two-part maxillary implant supported fixed restoration was constructed. The first part was consisted of a screw retained sub-structure that replaced gingival portions of the deficient maxilla and the second part was a cement retained super-structure that reconstructed the anatomical crowns of the lost teeth. In this way awkwardly placed implants did not interfere with the desired esthetic result. Another great advantage was that the alterations or repairs on cemented crowns can easily be carried out without compromising the entire construction.</p>
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<journal-id journal-id-type="nlm-ta">J Dent (Tehran)</journal-id>
<journal-id journal-id-type="iso-abbrev">J Dent (Tehran)</journal-id>
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<article-id pub-id-type="pmc">4264098</article-id>
<article-id pub-id-type="publisher-id">JOD-10-256</article-id>
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<subject>Technical Procedure</subject>
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<article-title>Prosthetic Management of an Extensive Maxillary Alveolar Defect with an Implant-Supported Restoration</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Saadat</surname>
<given-names>Fariborz</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
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<name>
<surname>Mosharraf</surname>
<given-names>Ramin</given-names>
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<xref ref-type="corresp" rid="cor1">*</xref>
<xref ref-type="aff" rid="aff2">2</xref>
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<aff id="aff1">
<label>1</label>
Prosthodontist, Dental Implant Research Center, Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran</aff>
<aff id="aff2">
<label>2</label>
Associate Professor, Dental Material Research Center, Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran</aff>
<author-notes>
<corresp id="cor1">
<label>*</label>
Corresponding author: R. Mosharraf, Dental Material Research Center, Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
<email>mosharraf@dnt.mui.ac.ir</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>5</month>
<year>2013</year>
</pub-date>
<volume>10</volume>
<issue>3</issue>
<fpage>256</fpage>
<lpage>263</lpage>
<history>
<date date-type="received">
<day>13</day>
<month>1</month>
<year>2013</year>
</date>
<date date-type="accepted">
<day>20</day>
<month>4</month>
<year>2013</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright© Dental Research Center, Tehran University of Medical Sciences</copyright-statement>
<license>
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0/">http://creativecommons.org/licenses/by/3.0/</ext-link>
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>Despite the recent developments in peri-implant surgical regenerative procedures, re-establishing the hard and soft tissue contour is still a challenge in cases with severe ridge deficiency. It becomes more difficult when incorrectly placed implants cause screw connections to come out onto the labial surfaces of the teeth. A two-part maxillary implant supported fixed restoration was constructed. The first part was consisted of a screw retained sub-structure that replaced gingival portions of the deficient maxilla and the second part was a cement retained super-structure that reconstructed the anatomical crowns of the lost teeth. In this way awkwardly placed implants did not interfere with the desired esthetic result. Another great advantage was that the alterations or repairs on cemented crowns can easily be carried out without compromising the entire construction.</p>
</abstract>
<kwd-group>
<title>Key Words</title>
<kwd>Dental Implants; Maxilla; Dental Prosthesis; Implant-Supported; Dental Porcelain</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
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<li>Iran</li>
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