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首页> 外文期刊>Revista Cubana de Estomatología >The ice cream cone technique, a predictable treatment possibility
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The ice cream cone technique, a predictable treatment possibility

机译：冰淇淋锥技术，可预测的治疗可能性

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Introduction: The volumetric preservation of bone and soft tissue after a tooth extraction has special relevance in the esthetic zone when it will be rehabilitated by a dental implant. Objective: Describe the prosthodontics treatment in a socket with advanced buccal bone resorption, with a flapless technique for guided bone regeneration and with a dental implant and implant-supported single fixed prosthesis. Case presentation: A case is presented of a male 62-year-old partially dentate patient. Radiographic examination showed the presence of advanced buccal bone resorption in relation to the maxillary left lateral incisor. It was a result of the root displacement secondary to root fracture. In a first surgical phase the lateral incisor was extracted using an atraumatic periotome technique. Particulate cortical bone allograft was compacted into the site to fill the space that was previously occupied by the root of the tooth. Temporary restoration was performed using the extracted natural tooth, which was adhesively bonded to the adjacent teeth. Four months after grafting the extraction site showed an adequate height and width of the bone. In a second surgical phase, an implant was placed. Six months after implant placement, osseointegration was clinically confirmed and a provisional crown was screwed on the implant performed. The final restoration with a zirconium dioxide abutment and a full ceramic crown was obtained and cemented. Conclusions: Regeneration of the buccal plate was possible through the use of particulate cortical bone allograft and a resorbable collagen membrane adapted to the bone defect and placed in a position to recreate the buccal plate. This allowed the installation of an implant 4 months later, the procedure allowing esthetic and functional results using a single fixed prosthesis.
机译：简介：牙齿提取后牙齿提取后的骨和软组织的体积保存在牙科植入物中恢复后在美学区具有特殊相关性。目的：用先进的颊骨吸收，用牙齿再生和牙科植入物和植入式单固定假体的牙龈骨吸骨吸中的假体术治疗。案例介绍：呈现案例的患者的62岁部分牙齿患者。射线照相检查显示出与上颌左侧切牙有关的先进颊骨吸集。它是根部骨折的根位移的结果。在第一外科阶段中，使用ATRAUMATIC蠕动技术提取横向切牙。将颗粒状皮质骨同种异体移植物压实到部位中以填充先前被牙齿根占据的空间。使用萃取的天然牙齿进行临时修复，该牙齿粘合到相邻的牙齿上。嫁接后四个月的提取位点显示骨骼的足够高度和宽度。在第二个外科阶段，放置植入物。植入物放置后六个月，临床证实骨整合，并在植入物上拧紧临时冠部。获得了二氧化锆邻接和全陶瓷冠的最终修复并粘合。结论：通过使用颗粒皮质骨同种异体移植物和适于骨缺损的可再吸收的胶原膜，可以进行颊板的再生，并放置在一个位置以重建颊板。这使得4个月后允许安装植入物，该程序允许使用单一固定假体的美学和功能结果。

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