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