Guzman-Perez G, Rojas-Rueda S, Floriani F, Unnadkat A, Fu C-C, Jurado C A
Gerardo Guzman-Perez, DDS, MS, Department of Periodontology, Centro Educativo Multidisciplinario en Rehabilitacion Oral (CEMRO), Morelia, Mexico; Department of Periodontology, Quetzalcoatl University, Irapuato, Mexico.
Silvia Rojas-Rueda, DDS, Division of Dental Biomaterials, Department of Clinical and Community Sciences, University of Alabama at Birmingham School of Dentistry, Birmingham, AL, USA.
Oper Dent. 2025 Jan 1;50(1):5-11. doi: 10.2341/24-040-S.
This case report describes the clinical protocols for the removal of crowns, tooth extraction, immediate implant placement, and cementation of new crowns, all performed under total or partial isolation with a dental dam.
The patient's chief complaint was dissatisfaction with her smile. Radiographic and clinical evaluations led to the recommendation to replace the porcelain-fused-to-metal crowns on the maxillary central and lateral incisors with all-ceramic crowns. Considering the patient's wide smile, ceramic veneer restorations were also recommended for the maxillary canines and first premolars. An immediate implant placement was advised to replace the fractured maxillary right central incisor.
Well-planned dental care including crown removal, tooth extraction, immediate implant placement, and cementation of new restorations can be successfully executed under isolation using a dental dam. The isolation improves access, visibility, and hygiene by preventing cross-contamination during the cementation procedure. The final outcome fulfilled the patient's esthetic demands.
本病例报告描述了在使用牙垫进行完全或部分隔离的情况下，进行牙冠拆除、拔牙、即刻种植体植入以及新牙冠粘结的临床方案。
患者的主要诉求是对自己的笑容不满意。影像学和临床评估结果建议用上颌中切牙和侧切牙的全瓷牙冠替换烤瓷熔附金属牙冠。考虑到患者笑容较宽，还建议对上颌尖牙和第一前磨牙进行陶瓷贴面修复。建议即刻植入种植体以替换上颌右侧中切牙的折断牙。
精心规划的牙科治疗，包括牙冠拆除、拔牙、即刻种植体植入以及新修复体的粘结，可在使用牙垫进行隔离的情况下成功实施。这种隔离通过防止粘结过程中的交叉污染，改善了操作的可达性、可视性和卫生状况。最终结果满足了患者的美学需求。
