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首页> 外文期刊>Clinical advances in periodontics. >Sectional Connective Tissue Technique Combined With an Emergence Profile Provisional for Gingival Margin Stabilization During Immediate Implant Placement: A Case Report With a 2-Year Follow-Up
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Sectional Connective Tissue Technique Combined With an Emergence Profile Provisional for Gingival Margin Stabilization During Immediate Implant Placement: A Case Report With a 2-Year Follow-Up

机译:分段结缔组织技术与立即植入物放置期间牙龈边缘稳定的出现概况相结合:2年随访的病例报告

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Introduction: Little is known regarding maintaining free gingival margin stability after immediate implant placement. Therefore, we present a sequential technique incorporating a sectional connective tissue graft with an emergence tissue provisional to stabilize the free gingival margin position during immediate implant placement in the esthetic zone. Case Presentation: A 57-year-old male was referred for assessment and treatment of a failing maxillary right central incisor. Clinical examination revealed poor retentive features, recurrent caries, and exposed endodontic material rendering a poor prognosis for the remaining tooth root system. After comprehensive evaluation, as well as understanding important patient case expectations, a decision was made to remove the existing tooth and place an immediate implant with a staged-provisional approach. To maintain the free gingival mid-facial height, a sectional-connective tissue graft technique was used concurrently with a custom emergence profile provisional to stabilize the gingiva immediately post-implant placement. Conclusion: Patients undergoing implant replacement of failing anterior maxillary teeth are at risk of esthetic complications. Marginal stability of the facial gingival is an important component of establishing and maintaining the final esthetic outcome. In cases where the initial hard or soft tissue thickness may put the patient at risk, combining soft and hard tissue augmentation with attention to emergence profile provisionalization appears to aid in the initial stability of the buccal free gingival margin. This report details the steps associated with a sectional connective tissue technique combined with emergence profile provisonalization and characterizes the gingival stability up to 2.5 years obtained with this approach.
机译:简介:关于立即植入物放置后保持自由牙龈边缘稳定性的知之甚少。因此,我们提出了一项顺序技术,该技术结合了截面结缔组织移植物,具有出现组织临时组织,以稳定在审美区域中立即植入物的位置时稳定游离牙龈边缘位置。案例表现:一名57岁的男性被转诊,以评估和治疗上颌右中央门牙失败。临床检查显示,保留症,龋齿的复发性和裸露的牙髓材料差,对剩余的牙根系统的预后不良。经过全面的评估以及了解重要的患者案例期望,决定去除现有的牙齿,并以分阶性的方法进行立即植入物。为了保持自由牙龈中期高度,同时使用了截面性的组织移植技术,并具有定制出现曲线临时,以稳定牙龈立即放置后放置后放置。结论:接受植入前上颌牙齿失效的患者有审美并发症的风险。面部牙龈的边际稳定性是建立和维持最终美学结果的重要组成部分。如果最初的硬组织厚度可能会使患者处于危险之中,则将软组织增强和注意出现概况临时化的关注似乎有助于提高颊自由牙龈缘的初始稳定性。本报告详细介绍了与分段结缔组织技术相关的步骤,并结合出现型培养基,并以这种方法获得了最高2.5年的牙龈稳定性。

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