Journal article
Soft Tissue Management on Pontic and Implant Sites Before Implants Insertion
Curēus (Palo Alto, CA), Vol.14(4), p.e24621
04/2022
PMCID: PMC9056014
PMID: 35506118
Abstract
Complex implant therapy can include methods requiring several phases of treatment, and they are usually referred to as one-stage and two-stage approaches. The reasons for the staged approach include the extraction of non-restorable teeth. Such a treatment approach may offer a fixed provisional prosthesis during implant osseointegration that enables the patient to avoid removable prostheses. However, this case aims to demonstrate how to manage the soft tissue in the pontic region prior to immediate implant placement. A 45- years old female patient presented with non-restorable teeth from the maxillary right lateral incisor to the left lateral incisor were removed, followed by socket preservation and fixed provisional restoration from right maxillary canine to left canine. Soft tissue was contoured to achieve ovate shape by first with a tooth-supported provisional restoration from the maxillary left canine to the right canine and then by re-shaping with carbide and diamond burs; after the tissue obtained the desired architecture, implants were inserted on sites of the maxillary right lateral incisor and left central lateral incisor without immediate loading, but the same provisional fixed restoration maintained the previously contour tissue. Once implant osseointegration was achieved, screw-retained provisional restoration was placed, followed by the definitive fixed implant restoration. Because the soft tissue was previously contoured, the screw-retained implant provisional restorations maintained the tissue architecture. These initial contouring procedures provided a more predictable outcome for the final tissue contour after implants were inserted. The final re-shaping with the implant screw-retained provisional restorations was minimum, and prostheses followed the previously provided tissue architecture. Before the endosteal implants are inserted, soft-tissue contouring prior to implant placement may provide a more predictable outcome of the final tissue architecture for pontic and implant areas. The patient and clinician can evaluate the success and limitations of tissue contouring prior to implant placement. It may also shorten the time required for tissue contouring with provisional implant restorations.
Details
- Title: Subtitle
- Soft Tissue Management on Pontic and Implant Sites Before Implants Insertion
- Creators
- Carlos A Jurado - Prosthodontics, Texas Tech University Health Sciences Center, Woody L. Hunt School of Dental Medicine, El Paso, USAChin-Chuan Fu - University of AlabamaLuis G Guzman - University of AlabamaJose Villalobos-Tinoco - National University of RosarioAkimasa Tsujimoto - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Curēus (Palo Alto, CA), Vol.14(4), p.e24621
- PMID
- 35506118
- PMCID
- PMC9056014
- ISSN
- 2168-8184
- eISSN
- 2168-8184
- Language
- English
- Date published
- 04/2022
- Academic Unit
- Prosthodontics; Operative Dentistry
- Record Identifier
- 9984258860002771
Metrics
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