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ePaper created 2015-05-29, 13:18:43 | version 1.38.0
I case report _ CBCT in diagnosis allowed us to avoid bone augmentation by guided boneregenerationoranonlaygraft—techniquesthat can be restrictive for patients and are not always accepted. Small space, proximity to the apices of the adja- cent teeth and small bone volume present surgical difficulties in the ideal positioning of implants. We believe it is important to use abutment teeth that in- tegrateplatformshifting,includingonimplantswith a small diameter. The large choice of abutments, in terms of gingival height and angulation, makes it possible to adapt to any clinical situation. _Conclusion Althoughwedonothavetheclinicalretrospection to offer our opinion on the strength and long-term durability of implants with small diameters at this point, the average success rate of these narrow im- plantsiscomparabletothatofstandardimplants.The useofnarrowimplantsforthemanagementofsingle anterior restorations, especially for the replacement of mandibular incisors and maxillary lateral incisors, constitutes an important option that makes it possi- bletosimplifythesurgicalapproach,sparingpatients from more invasive techniques and securing the sur- gical procedure in relation to the roots of adjacent teeth._ Acknowledgements: Many thanks to Laurent Bougette from Laboratoire Créadent in Grabels and Dr Frédéric Chalas in MontélimarinFrancefortheorthodontictreatmentofCase1. Figs. 19 & 20_Implant planning at the end of orthodontic treatment. Fig. 21a_The 2.8 mm x 12 mm implant. Fig. 21b_Appearance 18 months after placement of the prosthesis and after gingival maturation. Reforming of the papillae can be observed. Figs. 22 & 23_Implant planning for a 2.8 mm x 10 mm implant. Fig. 24_The metal–ceramic prosthesis on the day of seating. 24 I cone beam2_2015 Fig. 23 Fig. 24Fig. 22 Fig. 21bFig. 21a Dr Richard Marcelat has a DDS in Oral Implantology from the University of Liège and in Basal Implantology from the University of Nice SophiaAntipolis,as well as a Postgraduate Certificate in Implantology from CURAIO in Lyon in France. He can be contacted at richard.marcelat@orange.fr cone beam_about the author Fig. 19 Fig. 20