Aesthetic Surgical Approach for Bone Dehiscence Treatment by Means of Single Implant and Interdental Tissue Regeneration: A Case Report with Five Years of Follow-Up

The replacement of single anterior teeth by means of endosseous implants implies the achievement of success in restoring both aesthetic and function. However, the presence of wide endoperiodontal lesions can lead to horizontal hard and soft tissues defects after tooth extraction, making it impossibl...

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Main Authors: Giorgio Lombardo, Jacopo Pighi, Giovanni Corrocher, Anna Mascellaro, Jeffrey Lehrberg, Mauro Marincola, Pier Francesco Nocini
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2016/1236310
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author Giorgio Lombardo
Jacopo Pighi
Giovanni Corrocher
Anna Mascellaro
Jeffrey Lehrberg
Mauro Marincola
Pier Francesco Nocini
author_facet Giorgio Lombardo
Jacopo Pighi
Giovanni Corrocher
Anna Mascellaro
Jeffrey Lehrberg
Mauro Marincola
Pier Francesco Nocini
author_sort Giorgio Lombardo
collection DOAJ
description The replacement of single anterior teeth by means of endosseous implants implies the achievement of success in restoring both aesthetic and function. However, the presence of wide endoperiodontal lesions can lead to horizontal hard and soft tissues defects after tooth extraction, making it impossible to correctly place an implant in the compromised alveolar socket. Vertical augmentation procedures have been proposed to solve these clinical situations, but the amount of new regenerated bone is still not predictable. Furthermore, bone augmentation can be complicated by the presence of adjacent teeth, especially if they bring with them periodontal defects. Therefore, it is used to restore periodontal health of adjacent teeth before making any augmentation procedures and to wait a certain healing period before placing an implant in vertically augmented sites, otherwise risking to obtain a nonsatisfactory aesthetic result. All of these procedures, however, lead to an expansion of treatment time which should affect patient compliance. For this reason, this case report suggests a surgical technique to perform vertical bone augmentation at a single gap left by a central upper incisor while placing an implant and simultaneously to regenerate the periodontal attachment of an adjacent lateral incisor, without compromising the aesthetic result.
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institution Kabale University
issn 2090-6447
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publishDate 2016-01-01
publisher Wiley
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spelling doaj-art-216b75a1a4514243bf846882242234e02025-02-03T05:47:20ZengWileyCase Reports in Dentistry2090-64472090-64552016-01-01201610.1155/2016/12363101236310Aesthetic Surgical Approach for Bone Dehiscence Treatment by Means of Single Implant and Interdental Tissue Regeneration: A Case Report with Five Years of Follow-UpGiorgio Lombardo0Jacopo Pighi1Giovanni Corrocher2Anna Mascellaro3Jeffrey Lehrberg4Mauro Marincola5Pier Francesco Nocini6Clinic of Dentistry and Maxillofacial Surgery, University of Verona, Piazzale Ludovico Antonio Scuro 10, 37100 Verona, ItalyClinic of Dentistry and Maxillofacial Surgery, University of Verona, Piazzale Ludovico Antonio Scuro 10, 37100 Verona, ItalyClinic of Dentistry and Maxillofacial Surgery, University of Verona, Piazzale Ludovico Antonio Scuro 10, 37100 Verona, ItalyClinic of Dentistry and Maxillofacial Surgery, University of Verona, Piazzale Ludovico Antonio Scuro 10, 37100 Verona, ItalyDepartment of Biomaterials, Implant Dentistry Centre, 501 Arborway, Jamaica Plain, Boston, MA 02130, USAUniversidad de Cartagena, Avenida del Consulado, Calle No. 30, No. 48-152, Cartagena, Bolívar, ColombiaClinic of Dentistry and Maxillofacial Surgery, University of Verona, Piazzale Ludovico Antonio Scuro 10, 37100 Verona, ItalyThe replacement of single anterior teeth by means of endosseous implants implies the achievement of success in restoring both aesthetic and function. However, the presence of wide endoperiodontal lesions can lead to horizontal hard and soft tissues defects after tooth extraction, making it impossible to correctly place an implant in the compromised alveolar socket. Vertical augmentation procedures have been proposed to solve these clinical situations, but the amount of new regenerated bone is still not predictable. Furthermore, bone augmentation can be complicated by the presence of adjacent teeth, especially if they bring with them periodontal defects. Therefore, it is used to restore periodontal health of adjacent teeth before making any augmentation procedures and to wait a certain healing period before placing an implant in vertically augmented sites, otherwise risking to obtain a nonsatisfactory aesthetic result. All of these procedures, however, lead to an expansion of treatment time which should affect patient compliance. For this reason, this case report suggests a surgical technique to perform vertical bone augmentation at a single gap left by a central upper incisor while placing an implant and simultaneously to regenerate the periodontal attachment of an adjacent lateral incisor, without compromising the aesthetic result.http://dx.doi.org/10.1155/2016/1236310
spellingShingle Giorgio Lombardo
Jacopo Pighi
Giovanni Corrocher
Anna Mascellaro
Jeffrey Lehrberg
Mauro Marincola
Pier Francesco Nocini
Aesthetic Surgical Approach for Bone Dehiscence Treatment by Means of Single Implant and Interdental Tissue Regeneration: A Case Report with Five Years of Follow-Up
Case Reports in Dentistry
title Aesthetic Surgical Approach for Bone Dehiscence Treatment by Means of Single Implant and Interdental Tissue Regeneration: A Case Report with Five Years of Follow-Up
title_full Aesthetic Surgical Approach for Bone Dehiscence Treatment by Means of Single Implant and Interdental Tissue Regeneration: A Case Report with Five Years of Follow-Up
title_fullStr Aesthetic Surgical Approach for Bone Dehiscence Treatment by Means of Single Implant and Interdental Tissue Regeneration: A Case Report with Five Years of Follow-Up
title_full_unstemmed Aesthetic Surgical Approach for Bone Dehiscence Treatment by Means of Single Implant and Interdental Tissue Regeneration: A Case Report with Five Years of Follow-Up
title_short Aesthetic Surgical Approach for Bone Dehiscence Treatment by Means of Single Implant and Interdental Tissue Regeneration: A Case Report with Five Years of Follow-Up
title_sort aesthetic surgical approach for bone dehiscence treatment by means of single implant and interdental tissue regeneration a case report with five years of follow up
url http://dx.doi.org/10.1155/2016/1236310
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