Department of Dentistry, Federal University of Santa Catarina, Florianópolis, Brazil.
Clin Adv Periodontics. 2021 Dec;11(4):213-219. doi: 10.1002/cap.10122. Epub 2020 Sep 25.
Defects in the maxillary anterior teeth are delicate and difficult to solve because of the esthetic, functional, and psychological impairment that may arise if the rehabilitation treatment does not return the damaged tissues to the naturalness. Esthetic predictability and reduced surgical interventions are some great reasons to simplify dental treatments. During the presurgical evaluation, the clinician should review the implant esthetic risk profile, considering the patient's smile line, the esthetic demands, the hard and soft tissue thickness and width, and the gingival biotype. Thus, achieving long-term esthetic results initiates with a detailed case planning before surgical intervention.
The present report described a complex esthetic clinical case involving teeth and dental implant related to a high smile line. The clinical case was solved through immediate implant placement and immediate loading using a personalized prosthetic abutment and finalized with the installation of metal-free prosthetic restorations.
The use of a personalized prosthetic abutment helped to achieve a better emergence of the prosthesis under the periodontal tissues. Although it was a challenging esthetic case, especially because of the high smile line, the result was a natural smile while the adjacent soft tissues maintained their esthetics and health.
上颌前牙的缺损是微妙而难以解决的，因为如果修复治疗不能使受损组织恢复自然状态，可能会出现美观、功能和心理上的损害。美观的可预测性和减少手术干预是简化牙科治疗的一些重要原因。在术前评估中，临床医生应考虑患者的微笑线、审美要求、软硬组织的厚度和宽度以及牙龈生物型，审查种植体美学风险状况。因此，长期的美学效果始于手术干预前的详细病例规划。
本报告描述了一个涉及牙齿和与高微笑线相关的种植牙的复杂美学临床病例。该临床病例通过使用个性化的修复体基台进行即刻种植和即刻负载来解决，并最终安装了无金属修复体。
使用个性化的修复体基台有助于在牙周组织下更好地显露修复体。尽管这是一个具有挑战性的美学病例，尤其是因为高微笑线，但结果是自然的微笑，而相邻的软组织保持其美观和健康。
