Pontic site development with an implant submergence technique for unaesthetic implant in the anterior maxilla
10.14368/jdras.2020.36.4.289
- Author:
Yujeong SONG
1
;
Ju-Youn LEE
Author Information
1. Department of Periodontology, Pusan National University Dental Hospital, Yangsan, Republic of Korea
- Publication Type:Case Report
- From:Journal of Dental Rehabilitation and Applied Science
2020;36(4):289-295
- CountryRepublic of Korea
- Language:English
-
Abstract:
Improving implant esthetics is very difficult, especially in cases where unaesthetic problems are related to implants in the maxillary anterior dentition. A 69-year old male patient was referred by a prosthodontist for periodic pus discharge and an unaesthetic implant prosthesis (maxillary right lateral incisor). The implant was placed too deeply and showed soft tissue volume deficiency and a long clinical crown. After a clinical and radiographic examination, implant submergence and alveolar ridge augmentation were performed to enhance the aesthetics instead of an explantation. The treatment plan was as follows: extraction the adjacent teeth with tooth mobility, secondary caries, and poor prognosis; placement an additional dental implant with hard and soft tissue grafting;fabrication a fixed bridge using implant abutments. A fixed esthetic prosthesis using implants was fabricated, and the patient was satisfied with the prosthesis. A ridge augmentation with implant submergence may be an alternative for solving the problems of unaesthetic implant restorations in the esthetic zone.
