Department of Family Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2011 Feb;27(2):80-4. doi: 10.1016/j.kjms.2010.06.002.
Immediate implant restoration of single implants may demonstrate a positive effect on peri-implant soft tissue. Placement of a provisional restoration following implant surgery can create soft tissue contours that resemble normal gingival topography before placement of the definitive prosthesis. This article describes a staged approach of the mandibular permanent right central incisor, which was congenital missing. The proper space for restoration of the missing incisor was created through orthodontic treatment. The scheduled implant site was reconstructed using autogenous bone harvested from the chin region. After a healing period of four months, an implant was installed with the connection of a fixed provisional crown to a prefabricated temporary abutment. The soft tissue around the implant healed according to the contours of the provisional restoration and the emergence profile was used to duplicate the definitive restoration. Peri-implant esthetics was achieved through the staged approach and immediate restoration of the implant.
即刻种植修复单颗种植体可能对种植体周围软组织具有积极影响。种植体手术后即刻修复体的植入可以在最终修复体植入之前创造类似于正常牙龈形态的软组织轮廓。本文介绍了一种下颌恒中切牙的分阶段方法,该牙先天性缺失。通过正畸治疗为缺失的切牙创造了适当的修复空间。通过从颏部采集自体骨来重建预定的种植体部位。经过四个月的愈合期,将种植体安装到位,并将固定临时冠连接到预制临时基台。种植体周围的软组织根据临时修复体的轮廓愈合,并且使用最终修复体的登出轮廓来复制最终修复体。通过分阶段方法和种植体的即刻修复实现了种植体周围的美观。