Aesthetic Implant Rehabilitation in Periodontally Compromised Patients: A Surgical and Prosthetic Rationale

Authors: Erica Dorigatti de Avila, Rafael Scaf de Molon, Mauricio de Almeida Cardoso, Leopoldino Capelozza-Filho, Luiz Antonio Borelli Barros-Filho, Takahiro Ogawa, Francisco de Assis Mollo Junior and Luiz Antonio Borelli de Barros

Abstract

Two cases of aesthetic implant abutment rehabilitation in the maxillary anterior area in periodontally compromised patients following conventional periodontal therapy and tooth extractions are presented. For the two cases of anterior tooth loss due to advanced periodontal disease progression, atraumatic fl apless extractions were performed followed by the placement of immediate implants and provisional restorations. For the first case, lithium disilicate cemented over the abutment was used to achieve excellent aesthetic results. In the second case, custom zirconia abutments were used as prosthetic components. The results at the 3-year follow-up showed absence of inflammation and/or infection on the peri-implantar tissue with satisfactory aesthetic and excellent biological and clinical results achieved with reduced treatment time and morbidity for both patients. Total absence of infection and frequent plaque control after implant placement are mandatory before selection of the abutment material. The planning of the final treatment as specifi ed by the concept of comprehensive dental care is outlined, and the final outcome is discussed in relation to the literature.

Download Article

Other articles in this issue

Article
A Step-by-Step Management of Extraction Sites in Areas of Maxillary Sinus Pneumatization: A Literature Review and a Case Presentation of a New Surgical Technique João Gustavo Oliveira de Souza, Bernardo Born Passoni, Gabriel Leonardo Magrin, Armando Rodrigues Lopes Pereira Neto, César Augusto Magalhães Benfatti, Antônio Carlos Cardoso and Ricardo de Souza Magini Download
Clinical and Microbiological Evaluation of Povidone-Iodine 10% as an Adjunct to Nonsurgical Periodontal Therapy in Chronic Periodontitis: A Randomized Clinical Trial Fernando Augusto Perrella, Emanuel da Silva Rovai, Andréa Carvalho De Marco, Mauro Pedrine Santamaria, Magda Feres, Luciene Cristina de Figueredo, Warley David Kerbauy and José Benedito Oliveira Amorim Download
Aesthetic Implant Rehabilitation in Periodontally Compromised Patients: A Surgical and Prosthetic Rationale Erica Dorigatti de Avila, Rafael Scaf de Molon, Mauricio de Almeida Cardoso, Leopoldino Capelozza-Filho, Luiz Antonio Borelli Barros-Filho, Takahiro Ogawa, Francisco de Assis Mollo Junior and Luiz Antonio Borelli de Barros Download
A Novel Approach Using Natural 1% (W/W) Chitosan as a Local Drug Delivery System in the Management of Non-Surgical Periodontal Treatment: A Pilot Study Irfana S. Babrawala, Prabhuji MLV, Karthikeyan BV and Divya Khanna Download