4/24/2015

DENTAL IMPLANTS IN THE ESTHETIC ZONE

DENTAL IMPLANTS IN THE ESTHETIC ZONE IN COMBINATION WITH CROWN LENGTHENING PROCEDURE POST ORTHODONTIC TREATMENT
POINTS OF INTEREST:
1. PATIENT WAS REFFERED FOR IMPLANT PLACEMENT BUT DURING CONSULTATION APPOINTMENT SHE WAS INFORMED FOR THE AESTHETIC ADVANTAGES OF PERFORMING A  CROWN LENGTHENING PROCEDURE OF THE CENTRAL INCISORS AND THE PATIENT AGREED ON PROCEEDING WITH A COMBINED IMPLANT PLACEMENT AND CROWN LENGTHENING APPROACH
2. THERE WAS PLENTY OF BONE FACIALLY BUT THERE WAS BONE MISSING PALATALLY. THIS IS USUALLY SEEN IN CERTAIN CASES POST ORTHODONTIC TREATMENT. IN THESE CASES IT IS IMPORTANT TO CONSIDER THE LINGUAL SIDE OF THE FINAL PROSTHESIS WHEN DECIDING ON IMPLANT POSITION
3. #12 SITE SHOWED SOME IRRITATION DUE TO GRAFT EXFOLIATION FACIALLY, WHICH IS CONSISTENT WITH PRESENCE OF THINNER SOFT TISSUE IN THE AREA. A CTG AT TIME OF GRAFTING OR AT UNCOVERY COULD PREVENT SUCH ISSUES.

IOANNIS