De Avila Erica Dorigatti, de Molon Rafael Scaf, Cardoso Mauricio de Almeida, Capelozza-Filho Leopoldino, Barros-Filho Luiz Antonio Borelli, Ogawa Takahiro, Mollo Francisco de Assis, de Barros Luiz Antonio Borelli
Department of Dental Materials and Prosthodontics, School of Dentistry at Araraquara, Universidade Estadual Paulista - UN-ESP, Araraquara, São Paulo, SP, Brazil.
Division of Oral Biology and Medicine. University of California - School of Dentistry, Los Angeles, CA, USA.
J Int Acad Periodontol. 2016 Oct 7;18:120-128.
Two cases of aesthetic implant abutment rehabilitation in the maxillary anterior area in periodontally compromised patients following conventional periodontal therapy and tooth extractions are presented. For the two cases of anterior tooth loss due to advanced periodontal disease progression, atraumatic flapless extractions were performed followed by the placement of immediate implants and provisional restorations. For the first case, lithium disilicate cemented over the abutment was used to achieve excellent aesthetic results. In the second case, custom zirconia abutments were used as prosthetic components. The results at the 3-year follow-up showed absence of inflammation and/or infection on the peri-implantar tissue with satisfactory aesthetic and excellent biological and clinical results achieved with reduced treatment time and morbidity for both patients. Total absence of infection and frequent plaque control after implant placement are mandatory before selection of the abutment material. The planning of the final treatment as specified by the concept of comprehensive dental care is outlined, and the final outcome is discussed in relation to the literature.
本文介绍了两例牙周病患者在接受传统牙周治疗和拔牙后，上颌前部区域美学种植基台修复的病例。对于两例因晚期牙周病进展导致的前牙缺失，采用了无创无瓣拔牙，随后植入即刻种植体并进行临时修复。第一例中，使用锂硅水泥粘结在基台上以获得出色的美学效果。第二例中，定制氧化锆基台用作修复部件。3年随访结果显示种植体周围组织无炎症和/或感染，患者均获得了满意的美学效果、出色的生物学和临床效果，且治疗时间缩短、发病率降低。在选择基台材料之前，种植体植入后必须完全没有感染且能有效控制菌斑。概述了综合口腔保健概念所规定的最终治疗计划，并结合文献讨论了最终结果。
