Travma sonucu oluşan anterior tek diş eksikliklerinin implant destekli sabit restorasyonlar ile tedavisi: 2 olgu sunumu

Year 2015, Volume: 2 Issue: 3, 136 - 143, 01.12.2015

Zinde Güder Önjen Tak Bahadır Kan Fatih Mehmet Coşkunses

https://doi.org/10.15311/1441.272604

Cited By: 1

Abstract

Dentoalveolar travmalar genç bireylerde ve özellikle
maksiller anterior bölgede sıklıkla karşılaşılan
olgulardandır. Bu travmalar sonucu oluşan tek diş
eksikliklerinde hastaların yüksek estetik beklentilerini
karşılamak için uygun materyal seçimi ve detaylı bir
planlama büyük önem arz etmektedir. Bu olgu
sunumunun amacı dentoalveolar travma sonucu
maksiller santral dişini kaybetmiş 2 genç erkek hastanın
implant destekli, kişiye özel üretilmiş zirkonya
abutmentlar üzerine uygulanan zirkonya altyapılı tam
seramik tek kronlar ile tedavisini sunmaktır.
23 ve 18 yaşında iki genç erkek hasta geçirdikleri
dental travma sebebi ile maksiller santral dişlerini
kaybetmiştir. Her iki hastaya birer adet kemik seviyesi
implant yerleştirildi ve iyileşme sonrası yumuşak doku
şekillendirmesi yapıldı. Kişiye özel olarak üretilen
zirkonya abutmentlardan destek alan zirkonya altyapılı
tam seramik restorasyonlar hastalara teslim edildi.
Hastaların estetik ve fonksiyonel beklentileri karşılandı.
1 yıllık takip sonunda herhangi bir komplikasyonla
karşılaşılmadı.

Keywords

Dental implant, dental travma, estetik, kişiye özel abutment, zirkonya

Treatment of anterior single tooth loss caused by trauma with implant supported fixed restorations: 2 Case reports

Abstract

Dentoalveolar traumas are common in young adults especially at the maxillary anterior region. Careful treatment planning and suitable material selection have crucial importance for single-tooth loss caused by traumas to meet the high esthetic expectations of the patient. The aim of this case report is to present the treatment of 2 young adult male patients who have lost their maxillary central incisors because of dentoalveolar trauma by implant retained custom zirconia abutments and zirconia based all-ceramic single crowns.23 and 18 year-old young male patients have lost their maxillary central incisors caused by dental trauma. One bone level implant for each patient were placed and after the healing period periimplant soft tissue was manipulated. Definitive zirconia based all-ceramic restorations supported by customized zirconia abutments were delivered to the patients.The patients’ aesthetic and functional expectations were achieved. After one-year follow-up no complications were observed.

Keywords

Aesthetic, custom abutment, dental implant, dental trauma, zirconia

References

• Andreasen FM, Andreasen JO, 1994. Root fractures, In: Textbook and color atlas of traumatic injuries to the teeth, Ed; Andreasen JO, Andreasen FM, Third Edition, Munksgaard Publishers, Copenhagen, Denmark, pp; 279-314.
• Buser D, Martin W, Belser UC, 2004. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants, 19, 43-61.
• Caliskan MK, Pehlivan Y, 1996. Prognosis of root-fractured permanent incisors. Endod Dent Traumatol, 12, 129-136.
• Darby I, Chen ST, Buser D, 2009. Ridge preservation techniques for implant therapy. Int J Oral Maxillofac Implants, 24, 260-271.
• Edelhoff D, Spiekermann H, Yildirim M, 2002. A review of esthetic pontic options. Quint Int, 33, 736-746.
• Funato A, Salama MA, Ishikawa T, Garber DA, Salama H, 2007. Timing, positioning, and sequential staging in esthetic implant therapy: A four-dimensional perspective. Int J Periodontics Restorative Dent, 27, 313-323.
• Grunder U, Gracis S, Capelli M, 2005. Influence of the 3-D bone-to-implant relationship on esthetics. Int J Periodontics Restorative Dent, 25, 113-119.
• Hermann JS, Buser D, Schenk RK, Higginbottom FL, Cochran DL, 2000. Biologic width around titanium implants. A physiologically formed and stable dimension over time. Clin Oral Implants Res, 11, 1-11.
• Kan JY, Rungcharassaeng K, Umezu K, Kois JC, 2003. Dimensions of peri-implant mucosa: an evaluation of maxillary anterior single implants in humans. J Periodontol, 74, 557-562.
• Lee CY, Hasegawa H, 2008. Immediate load and esthetic zone considerations to replace maxillary incisor teeth using a new zirconia implant abutment in the bone grafted anterior maxilla. J Oral Implantol, 34, 259-267.