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KMID : 1004520150310020126
Journal of Dental Rehabilitation and Applied Science
2015 Volume.31 No. 2 p.126 ~ p.133
Multidisciplinary approach of the problem of unaesthetic implants in the maxillary anterior dentition
Joo Ji-Young

Choi Jeom-Il
Lee Ju-Youn
Abstract
Periodontal tissue destroyed by inflammation is difficult to achieve regeneration of the tissue and esthetic restorations only by surgical methods. In particular, improvement of esthetics is more difficult if the problem is related to the implant. A 23 year old woman suffered from unesthetic anterior implant prosthesis. According to her dental history, a repeated bone graft and soft issue graft failed at a local dental clinic. It was needed to resolve the inflammation and to improve the esthetics. A free gingival graft and ridge augmentation accompanied by guided bone regeneration and a vascularized interpositional periosteal connective tissue graft was performed. Instead of implant prosthesis, a conventional fixed bridge was adopted for better esthetic result. The patient was satisfied with the esthetic conventional fixed prosthesis. This case report introduces esthetic rehabilitation of unesthetic implant prosthetics in the maxillary anterior dentition by a combination of surgical and prosthetic approaches.
KEYWORD
alveolar ridge augmentation, implant supported dental prosthesis, peri-implantitis
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