Please activate JavaScript!
Please install Adobe Flash Player, click here for download

Clinical Master Magazine

issue 1/2015 — 19Implant Dentistry Article Conclusion The aesthetic fundamentals for an implant are in the preprosthetic surgical stages of the treatment. Any approximation in the location of the implant in such a narrow implant corridor, any lack of support for papillae or any deficiency in the thickness of hard or soft tissues, will result in aesthetic problems. The prosthetic stages allow optimisation of the result as regards the gingival context but any error in the surgical stage will often be impossible to correct during the prosthetic stages. For this reason it is vital to approach this first part of the im- plant treatment for a lateral incisor with thoroughness and precision. Fig.23 Fig. 17 Intraoperative X-Ray, Precision Drill inlay (left on picture) and in situ (right on picture). Fig. 18 Clinical outcome 5 months after the graft. Postopera- tive X-Ray Nobel Active 3/0 implant and 15° abutment in place. Fig. 19 Initial situation. Fig. 20 Deepithelialisation of a palatal flap into a diamond shape. Fig. 21 Unfoldment of palatal flap, vestibular edge. Fig. 22 Creation of flap envelope, Swann-Morton blade through the envelope. SM 63, inlaid with transparency. Fig. 23 Passage of suture through the envelope. Fig. 24 The palatal flap is folded into the vestibular envelope using a suture thread. Fig. 25 Tissue integration with ceramic crown. Fig. 26 Vestibular bulge obtained with modified flap. Figs. 27a–c Clinical and X-Ray views, vitroceramic in place. Fig. 28 Initial incision creating two vestibular half papillae. Fig. 29 Suture of half papillae (situation in Fig. 1). Fig. 30 Deepithelialised tuberosity graft. Fig. 31 Insertion of connective graft buried under the papillae. Fig. 32 Clinical outcome in a case of gummy smile. Fig. 33 Insufficient soft tissue thickness alters the chromatic outcome. Fig.24 Fig.27a Fig.25 Fig.30 Fig.27b Fig.27c Fig.31 Fig.28 Fig.29 Fig.26 Fig.32 Fig.33

Pages Overview