Journal of Oral Implantology October 2013 - (Page 621)
CASE REPORT
Implant Esthetic Restoration in Ridge Deficiencies in
Cases of Trauma: A Case Report
Puneet Sharma, MDS1
G. N. Anandakrishna, MDS2
Palwinder Kaur, MDS1*
Varun Dahiya, MDS3
The long-term success of implant therapy does not depend solely on osseointegration, but the gingival
architecture surrounding the implant system. It becomes very important to restore the gingival tissues in the
areas that enhance one’s esthetics. The esthetic zone can be defined as any dentoalveolar area of esthetic
concern to the patient. The anterior maxillary teeth in the esthetic zone usually extend from first premolar to
first premolar, but in some individuals can extend as far distally as the first molar. The patients requiring esthetic
reconstruction at the site of trauma pose a great problem in implant placement and prosthetic restoration as
scar tissue interferes with the same. To be successful, an implant-supported restoration should meet biological,
mechanical, and esthetic goals. The most challenging situation is when esthetics is of prime concern in deficient
ridge cases. This clinical report presents problems faced during implant placement and the sequential
procedure to rehabilitate with an implant that was esthetically harmonized at the site of trauma.
Key Words: trauma, scar tissue, electrocautry, dentascan
INTRODUCTION
D
espite the availability of various
implant and abutment types in the
market, it often becomes quite challenging to achieve the biological and
esthetic goals in a patient who has
ridge deficiencies because of trauma.1 Oral implantology is often complicated by the limitation faced
at the site of trauma that is covered by dense scar
tissue. Sometimes this scar tissue covers the alveolar
ridge that hinders the implant placement as well as
prosthetic rehabilitation.2 Challenges do occur in
selecting implants because the amount of bone in
such regions is much reduced, and in performing
the restorative portion during the second-stage
surgical procedure, scar tissue causes problems in
(1) exposing the submerged implant, (2) controlling
1
Swami Devi Dyal Dental College, Panchkula, India.
M.S. Ramaiah Dental College Hospital, Bengaluru, India.
DJ College of Dental Sciences, Modinagar, India.
* Corresponding author, e-mail: soniya.bagri@gmail.com
DOI: 10.1563/AAID-JOI-D-11-00181
2
3
the thickness of the soft tissues surrounding the
implants, (3) creating attached gingiva around the
implants, and (4) ensuring proper abutment seating.3
Sometimes advanced surgical procedures are
designed to overcome these difficulties. It is
important to carefully weigh the benefits versus
the risks of these procedures. Prosthetic rehabilitation with a minor periodontal surgical procedure is
sometimes very beneficial in restoring this type of
case. Reports have demonstrated that nonsurgical
management of soft-tissue deficiencies is equally
beneficial and can fulfill the goals of successful
implant therapy.4,5
Sometimes edentulism is associated with extensive or limited soft-tissue deficiencies due to
trauma. This loss requires tissue reconstruction
therapy to restore the ideal emergence profile,
which is indispensable for a good esthetic result.6–8
This case report discusses the concerns, difficulties,
and prosthetic challenges that must be addressed
when restoring a patient with residual ridge
resorption to acceptable function and esthetics.
Journal of Oral Implantology
621
Table of Contents for the Digital Edition of Journal of Oral Implantology October 2013
Food and Drug Administration: Reclassification of Blade Form Dental Implants
Optimizing Platelet-Rich Plasma Gel Formation by Varying Time and Gravitational Forces During Centrifugation
Effect of Surface Roughness and Low-Level Laser Therapy on Removal Torque of Implants Placed in Rat Femurs
Impression Techniques for Multiple Implants: A Photoelastic Analysis. Part I: Comparison of Three Direct Methods
Impression Techniques for Multiple Implants: A Photoelastic Analysis. Part II: Comparison of Four Acrylic Resins
A Pig Model for the Histomorphometric Evaluation of Hard Tissue Around Dental Implants
In Situ Tooth Replica Custom Implant: A 3-Dimensional Finite Element Stress and Strain Analysis
Influence of Different Soft Liners on Stress Distribution in Peri-Implant Bone Tissue During Healing Period. A 3D Finite Element Analysis
Influence of Surface Nano-Roughness on Osseointegration of Zirconia Implants in Rabbit Femur Heads Using Selective Infiltration Etching Technique
Modified Titanium Surfaces Alter Osteogenic Differentiation: A Comparative Microarray- Based Analysis of Human Mesenchymal Cell Response to Commercial Titanium Surfaces
Hemorrhage Secondary to Interforaminal Implant Surgery: Anatomical Considerations and Report of a Case
Rehabilitation of a Patient With Mandibular Resection Using Osteointegrated Implants: A Case Report
Two-Stage Bone Expansion Technique Using Spear-Shaped Implants Associated With Overlapped Flap: A Case Report
Implant Esthetic Restoration in Ridge Deficiencies in Cases of Trauma: A Case Report
Rehabilitation of the Atrophic Maxilla With Tilted Implants: Review of the Literature
Journal of Oral Implantology October 2013
http://www.brightcopy.net/allen/orim/Glossary
https://www.nxtbook.com/allen/orim/40-6
https://www.nxtbook.com/allen/orim/40-5
https://www.nxtbook.com/allen/orim/40-4
https://www.nxtbook.com/allen/orim/40-s1
https://www.nxtbook.com/allen/orim/40-3
https://www.nxtbook.com/allen/orim/40-2
https://www.nxtbook.com/allen/orim/40-1
https://www.nxtbook.com/allen/orim/39-6
https://www.nxtbook.com/allen/orim/39-5
https://www.nxtbook.com/allen/orim/39-4
https://www.nxtbook.com/allen/orim/39-3
https://www.nxtbook.com/allen/orim/39-s1
https://www.nxtbook.com/allen/orim/39-2
https://www.nxtbook.com/allen/orim/39-1
https://www.nxtbook.com/allen/orim/38-6
https://www.nxtbook.com/allen/orim/38-5
https://www.nxtbook.com/allen/orim/38-s1
https://www.nxtbook.com/allen/orim/38-4
https://www.nxtbook.com/allen/orim/38-3
https://www.nxtbook.com/allen/orim/38-2
https://www.nxtbook.com/allen/orim/38-1
https://www.nxtbookmedia.com