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2017, Number 4

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Rev Odont Mex 2017; 21 (4)

Post-extraction implant using custom-modified ceramic screw abutment. Case report

Lozano SÁM, Rodríguez EOL

Language: Spanish
References: 20
Page: 262-266
PDF size: 255.68 Kb.


ABSTRACT

Greyish pigmentation of the mucosa around implants after abutment insertion and crown cementation is considered an esthetic failure. This pigmentation is due to use of metallic abutments or a thin periodontal biotype. The purpose of the present report was to improve gingival esthetic appearance of patients with thin biotype, by modifying color in the sub-mucosal region of a screwed-on, custom made, zirconium abutment, successfully improving gingival aesthetics in a right lateral incisor.


REFERENCES

  1. Andersson B, Odman P, Lindvall AM, Brånemark PI. Cemented single crowns on osseointegrated implants after 5 years: results from a prospective study on CeraOne. Int J Prosthodont. 1998; 11 (3): 212-218.

  2. Kan JY, Morimoto T, Rungcharassaeng K, Roe P, Smith DH. Gingival biotype assessment in the esthetic zone: visual versus direct measurement. Int J Periodontics Restorative Dent. 2010; 30 (3): 237-243.

  3. Blatz MB, Bergler M, Holst S, Block MS. Zirconia abutments for single-tooth implants--rationale and clinical guidelines. J Oral Maxillofac Surg. 2009; 67 (11 Suppl): 74-81.

  4. Jung RE, Sailer I, Hämmerle CH, Attin T, Schmidlin P. In vitro color changes of soft tissues caused by restorative materials. Int J Periodontics Restorative Dent. 2007; 27 (3): 251-257.

  5. Fürhauser R, Florescu D, Benesch T, Haas R, Mailath G, Watzek G. Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score. Clin Oral Implants Res. 2005; 16 (6): 639-644.

  6. Happe A, Stimmelmayr M, Schlee M, Rothamel D. Surgical management of peri-implant soft tissue color mismatch caused by shine-through effects of restorative materials: one-year follow-up. Int J Periodontics Restorative Dent. 2013; 33 (1): 81-88.

  7. De Rouck T, Eghbali R, Collys K, De Bruyn H, Cosyn J. The gingival biotype revisited: transparency of the periodontal probe through the gingival margin as a method to discriminate thin from thick gingiva. J Clin Periodontol. 2009; 36 (5): 428-433.

  8. Chang M, Wennström JL, Odman P, Andersson B. Implant supported single-tooth replacements compared to contralateral natural teeth. Crown and soft tissue dimensions. Clin Oral Implants Res. 1999; 10 (3): 185-194.

  9. Park SE, Da Silva JD, Weber HP, Ishikawa-Nagai S. Optical phenomenon of peri-implant soft tissue. Part I. Spectrophotometric assessment of natural tooth gingiva and peri-implant mucosa. Clin Oral Implants Res. 2007; 18 (5): 569-574.

  10. Büchi DL, Sailer I, Fehmer V, Hämmerle CH, Thoma DS. All-ceramic single-tooth implant reconstructions using modified zirconia abutments: a prospective randomized controlled clinical trial of the effect of pink veneering ceramic on the esthetic outcomes. Int J Periodontics Restorative Dent. 2014; 34 (1): 29-37.

  11. Jun SH, Ahn JS, Chang BM, Lee JD, Ryu JJ, Kwon JJ. In vivo measurements of human gingival translucency parameters. Int J Periodontics Restorative Dent. 2013; 33 (4): 427-434.

  12. Kohal RJ, Klaus G. A zirconia implant-crown system: a case report. Int J Periodontics Restorative Dent. 2004; 24 (2): 147-153.

  13. Kan JY, Rungcharassaeng K, Lozada J. Immediate placement and provisionalization of maxillary anterior single implants: 1-year prospective study. Int J Oral Maxillofac Implants. 2003; 18 (1): 31-39.

  14. Sailer I, Zembic A, Jung RE, Hämmerle CH, Mattiola A. Single-tooth implant reconstructions: esthetic factors influencing the decision between titanium and zirconia abutments in anterior regions. Eur J Esthet Dent. 2007; 2 (3): 296-310.

  15. Jung RE, Pjetursson BE, Glauser R, Zembic A, Zwahlen M, Lang NP. A systematic review of the 5-year survival and complication rates of implant-supported single crowns. Clin Oral Implants Res. 2008; 19 (2): 119-130.

  16. Olsson M, Lindhe J, Marinello CP. On the relationship between crown form and clinical features of the gingiva in adolescents. J Clin Periodontol. 1993; 20 (8): 570-577.

  17. Ishikawa-Nagai S, Da Silva JD, Weber HP, Park SE. Optical phenomenon of peri-implant soft tissue. Part II. Preferred implant neck color to improve soft tissue esthetics. Clin Oral Implants Res. 2007; 18 (5): 575-580.

  18. Jung RE, Holderegger C, Sailer I, Khraisat A, Suter A, Hämmerle CH. The effect of all-ceramic and porcelain-fused-to-metal restorations on marginal peri-implant soft tissue color: a randomized controlled clinical trial. Int J Periodontics Restorative Dent. 2008; 28 (4): 357-365.

  19. van Brakel R, Noordmans HJ, Frenken J, de Roode R, de Wit GC, Cune MS. The effect of zirconia and titanium implant abutments on light reflection of the supporting soft tissues. Clin Oral Implants Res. 2011; 22 (10): 1172-1178.

  20. Bressan E, Paniz G, Lops D, Corazza B, Romeo E, Favero G. Influence of abutment material on the gingival color of implant-supported all-ceramic restorations: a prospective multicenter study. Clin Oral Implants Res. 2011; 22 (6): 631-637.




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