engleski

Multidisciplinary treatment formissing upper central incisor in an adolescent

Implant restorations are commonly used to replace missing incisors. However their use in adolescents is not very common. This case report represents a multidisciplinary treatment approach for missing upper central incisor in young patient. Fifteen-year-old girl was referred with missing upper right central incisor which was surgically removed at the age of 11. The tooth was impacted due to traumatic injury of deciduous upper right central incisor at the age of two which led to severe trauma of permanent tooth germ. Space between tooth 12 and 21 was completely closed with teeth crowding in both maxilla and mandible. Dental radiographs and diagnostic casts were made. Missing space was achieved by means of orthodontic space opening procedure which lasted till girl was 17 years old. It was decided to make an implant restoration after the orthodontist stated that the patient has completed her facial growth. Friadent XiVE implant (3.0mm diameter) was placed and period of three months was recommended as healing time. During that time patient had teeth-retained removable temporary tooth designed as ovate pontic. It was used for aesthetic and soft tissue management with non-invasive papilla reconstruction, respectively. Satisfactory soft tissue emergence profile was achieved during healing period. After impression taking, PFMcrown wasmade on 15degrees angled aesthetic abutment. Regular 6 months follow up showed excellent functional and esthetical results after one year.

dental implant esthetics

nije evidentirano