Single-Tooth Morse Taper Connection Implant Placed in Grafted Site of the Anterior Maxilla: Clinical and Radiographic Evaluation

The aim of this study was to achieve aesthetically pleasing soft tissue contours in a severely compromised tooth in the anterior region of the maxilla. For a right-maxillary central incisor with localized advanced chronic periodontitis a tooth extraction followed by reconstructive procedures and del...

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Main Authors: Francesco Guido Mangano, Piero Zecca, Fabrizia Luongo, Giovanna Iezzi, Carlo Mangano
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2014/183872
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author Francesco Guido Mangano
Piero Zecca
Fabrizia Luongo
Giovanna Iezzi
Carlo Mangano
author_facet Francesco Guido Mangano
Piero Zecca
Fabrizia Luongo
Giovanna Iezzi
Carlo Mangano
author_sort Francesco Guido Mangano
collection DOAJ
description The aim of this study was to achieve aesthetically pleasing soft tissue contours in a severely compromised tooth in the anterior region of the maxilla. For a right-maxillary central incisor with localized advanced chronic periodontitis a tooth extraction followed by reconstructive procedures and delayed implant placement was proposed and accepted by the patient. Guided bone regeneration (GBR) technique was employed, with a biphasic calcium-phosphate (BCP) block graft placed in the extraction socket in conjunction with granules of the same material and a resorbable barrier membrane. After 6 months of healing, an implant was installed. The acrylic provisional restoration remained in situ for 3 months and then was substituted with the definitive crown. This ridge reconstruction technique enabled preserving both hard and soft tissues and counteracting vertical and horizontal bone resorption after tooth extraction and allowed for an ideal three-dimensional implant placement. Localized severe alveolar bone resorption of the anterior maxilla associated with chronic periodontal disease can be successfully treated by means of ridge reconstruction with GBR and delayed implant insertion; the placement of an early-loaded, Morse taper connection implant in the grafted site was effective to create an excellent clinical aesthetic result and to maintain it along time.
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spelling doaj-art-0fff550763a6413b94de5cdf1f6f9ea52025-08-20T03:54:29ZengWileyCase Reports in Dentistry2090-64472090-64552014-01-01201410.1155/2014/183872183872Single-Tooth Morse Taper Connection Implant Placed in Grafted Site of the Anterior Maxilla: Clinical and Radiographic EvaluationFrancesco Guido Mangano0Piero Zecca1Fabrizia Luongo2Giovanna Iezzi3Carlo Mangano4Department of Surgical and Morphological Science, Dental School, University of Insubria, 21100 Varese, ItalyDepartment of Surgical and Morphological Science, Dental School, University of Insubria, 21100 Varese, ItalyPrivate Practice, 00193 Rome, ItalyDepartment of Medical, Oral and Biotechnological Sciences, Dental School, University G. d’Annunzio, 66100 Chieti, ItalyDepartment of Surgical and Morphological Science, Dental School, University of Insubria, 21100 Varese, ItalyThe aim of this study was to achieve aesthetically pleasing soft tissue contours in a severely compromised tooth in the anterior region of the maxilla. For a right-maxillary central incisor with localized advanced chronic periodontitis a tooth extraction followed by reconstructive procedures and delayed implant placement was proposed and accepted by the patient. Guided bone regeneration (GBR) technique was employed, with a biphasic calcium-phosphate (BCP) block graft placed in the extraction socket in conjunction with granules of the same material and a resorbable barrier membrane. After 6 months of healing, an implant was installed. The acrylic provisional restoration remained in situ for 3 months and then was substituted with the definitive crown. This ridge reconstruction technique enabled preserving both hard and soft tissues and counteracting vertical and horizontal bone resorption after tooth extraction and allowed for an ideal three-dimensional implant placement. Localized severe alveolar bone resorption of the anterior maxilla associated with chronic periodontal disease can be successfully treated by means of ridge reconstruction with GBR and delayed implant insertion; the placement of an early-loaded, Morse taper connection implant in the grafted site was effective to create an excellent clinical aesthetic result and to maintain it along time.http://dx.doi.org/10.1155/2014/183872
spellingShingle Francesco Guido Mangano
Piero Zecca
Fabrizia Luongo
Giovanna Iezzi
Carlo Mangano
Single-Tooth Morse Taper Connection Implant Placed in Grafted Site of the Anterior Maxilla: Clinical and Radiographic Evaluation
Case Reports in Dentistry
title Single-Tooth Morse Taper Connection Implant Placed in Grafted Site of the Anterior Maxilla: Clinical and Radiographic Evaluation
title_full Single-Tooth Morse Taper Connection Implant Placed in Grafted Site of the Anterior Maxilla: Clinical and Radiographic Evaluation
title_fullStr Single-Tooth Morse Taper Connection Implant Placed in Grafted Site of the Anterior Maxilla: Clinical and Radiographic Evaluation
title_full_unstemmed Single-Tooth Morse Taper Connection Implant Placed in Grafted Site of the Anterior Maxilla: Clinical and Radiographic Evaluation
title_short Single-Tooth Morse Taper Connection Implant Placed in Grafted Site of the Anterior Maxilla: Clinical and Radiographic Evaluation
title_sort single tooth morse taper connection implant placed in grafted site of the anterior maxilla clinical and radiographic evaluation
url http://dx.doi.org/10.1155/2014/183872
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