Difficult case of esthetic on implant in anterior area

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Posted on 11.12.2021 04:17 PM By Pantir Mona In Anterior/Esthetic

Patient came with an old implant and he wanted improved esthetic.The case was approached in 6 stages:
1. Decoronation- removal of crown and abutment in order to allow a growth of soft tissue
2. Removal of old implant and soft tissue graft(onlay graft)
3. Bone graft
4. Implant placement using a guide
5. Temporary crown
6. Rotated palatal flap to reconstruct the papilla between central and lateral incisor
7. Or tho to create the occlusal space for final crown

Old crown and implant

Soft tissue after crown removal

Implant removal and soft tissue graft

Autogenous bone graft

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1 Comments

Lynnwood Dental Studio says on 08.08.2022 04:02 AM

The most important factors that influence the esthetic outcome of the implant-supported restorations are as follows:

- Patient selection and smile line;
- Tooth position;
- Root position of the adjacent teeth;
- Biotype of the periodontics and tooth shape;
- The bony anatomy of the implant site;
- The position of the implant.