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[Esthetic and prosthetic procedures in single-tooth replacement]

G L de Lange1

  • 1Academic Center of Oral Implantology, Amstelveen, Nederland.

International Journal of Dental Symposia
|January 1, 1994
PubMed
Summary

Replacing lost anterior maxillary teeth with dental implants is challenging due to bone resorption. This paper outlines implant surgery and prosthetic steps for successful single tooth replacement, addressing bone and soft tissue augmentation.

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Area of Science:

  • Dental Implantology
  • Oral and Maxillofacial Surgery
  • Periodontology

Context:

  • Loss of anterior maxillary teeth leads to significant bone resorption and interdental papillae loss.
  • Previous infections or surgeries exacerbate bone destruction, complicating single tooth replacement with dental implants.
  • Aesthetic and prosthetic challenges arise from severe bone defects following tooth loss.

Purpose:

  • To describe the essential steps for dental implant surgery and prosthetics in cases of anterior maxillary tooth loss.
  • To provide a summary of treatment planning considerations, including bone assessment and implant selection.
  • To detail bone and soft tissue augmentation techniques and prosthetic component choices for optimal outcomes.

Summary:

  • Treatment planning for single tooth replacement with dental implants hinges on bone quality, quantity, and interdental space.
  • Bone regeneration procedures can be performed before or during implant placement, utilizing various flap designs.
  • Soft tissue augmentation involves connective tissue grafts, and antirotational devices are crucial for implant stability. Screw-retained abutments offer versatility in placement.

Impact:

  • This guide aids clinicians in managing complex cases of single tooth replacement in the aesthetic zone.
  • Improved understanding of bone and soft tissue management techniques can enhance prosthetic success.
  • Successful dental implant placement restores function and aesthetics, addressing the challenges posed by maxillary tooth loss.

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