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KMID : 1004520200360040289
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Journal of Dental Rehabilitation and Applied Science
2020 Volume.36 No. 4 p.289 ~ p.295
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Pontic site development with an implant submergence technique for unaesthetic implant in the anterior maxilla
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Song Yu-Jeong
Lee Ju-Youn
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Abstract
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Improving implant esthetics is very difficult, especially in cases where unaesthetic problems are related to implants in the maxillary anterior dentition. A 69-year old male patient was referred by a prosthodontist for periodic pus discharge and an unaesthetic implant prosthesis (maxillary right lateral incisor). The implant was placed too deeply and showed soft tissue volume deficiency and a long clinical crown. After a clinical and radiographic examination, implant submergence and alveolar ridge augmentation were performed to enhance the aesthetics instead of an explantation. The treatment plan was as follows: extraction the adjacent teeth with tooth mobility, secondary caries, and poor prognosis; placement an additional dental implant with hard and soft tissue grafting; fabrication a fixed bridge using implant abutments. A fixed esthetic prosthesis using implants was fabricated, and the patient was satisfied with the prosthesis. A ridge augmentation with implant submergence may be an alternative for solving the problems of unaesthetic implant restorations in the esthetic zone.
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KEYWORD
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dental implants, dental esthetics, ridge augmentation, maxillae
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