Jundaeng Jarupat, Chamchong Rapeeporn, Nithikathkul Choosak
PhD in Health Science Program, Faculty of Medicine, Mahasarakham University, Mahasarakham, Thailand.
Tropical Health Innovation Research Unit, Faculty of Medicine, Mahasarakham University, Mahasarakham, Thailand.
SAGE Open Med Case Rep. 2025 Jan 8;13:2050313X241311702. doi: 10.1177/2050313X241311702. eCollection 2025.
This case report emphasizes the complexities involved in dental implant placement within the anterior esthetic zone, focusing on the integration of advanced surgical techniques and meticulous prosthetic design for optimal esthetic and functional results. A 28-year-old male presented with the absence of the upper left central incisor, which had been extracted 5 years prior due to fracture. Clinical and radiographic assessments indicated normal alveolar bone levels; however, the esthetic demands required a specialized approach. The surgical procedure included a papilla preservation flap, immediate implant placement, and bone grafting to prevent peri-implant resorption and achieve an optimal emergence profile. An Osstem implant and resorbable Xenograft were utilized to address the thin labial bone. Over 4 months, successful osseointegration occurred, followed by the placement of a permanent crown. This case illustrates that dental implant restoration in the anterior esthetic zone can effectively address functional and esthetic challenges, leading to high patient satisfaction with the final restoration's natural appearance.
本病例报告强调了在前牙美学区进行牙种植时所涉及的复杂性，重点关注先进手术技术与精细修复设计的结合，以实现最佳的美学和功能效果。一名28岁男性，左上中切牙缺失，该牙5年前因骨折被拔除。临床和影像学评估显示牙槽骨水平正常；然而，美学需求需要一种特殊的方法。手术过程包括保留乳头瓣、即刻种植体植入和骨移植，以防止种植体周围骨吸收并获得最佳的穿龈轮廓。使用奥齿泰种植体和可吸收异种骨来处理唇侧薄骨。在4个月的时间里，成功实现了骨结合，随后安装了永久冠。该病例表明，前牙美学区的牙种植修复可以有效应对功能和美学挑战，使患者对最终修复体的自然外观高度满意。
