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Surgical Considerations for Aesthetic Problems with Implants and Crowns for Single Missing Front Teeth - the Influence of the Implant Diameter on the Red - White Aesthetics

Paul Weigl


Full text: croatian pdf 79 Kb

page 249-249

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Full text: english pdf 81 Kb

page 249-250

downloads: 492

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Abstract

The aesthetic result in anterior areas, especially in the upper jaw, is one of the most difficult implantological questions. However there are many preimplantological parameters, which can be diagnosed before surgery, so that it is easily possible to get a predictable result. Some of them are the type of gingiva, horizontal and vertical bone quantity etc. Our clinical experience has demonstrated that implantation in younger people without augmentation, when necessary only for aesthetics and not for function, should no longer be tolerated.
Our aim is to present different types of augmentation in hard (bone spreading, autologous and allogenic) and in soft tissue (FTG) and to show the predictable results with satisfied patients. Some system advantages allow us to insert low diameter implants with very good emergence profile and no problem with vestibular bone loss.
A challenge in implantology is the predictable, long-term aesthetics result, replacing incisors and canines of the upper jaw. Besides multidisciplinary cooperation between oral surgeons, prosthodontists and dental technicians the results depends on the correct emergence profile of impant borne crowns. A wide diameter implant platform should be chosen in case of replacing upper central incisors or canines. However, an analysis of the literature, theoretical considerations regarding ovate shaped pontics of conventional bridges, and many cases, lead to the conclusion that the emergence profile is indipendent of the used implant diameter. The profile is exclusively defined by the shape of the implant borne crown.
Therefore, small implant diameters can be used if there is less bone amount, preventing many advanced surgical procedures to improve the bone amount in the oral-vestibular dimension.

Keywords

Hrčak ID:

564

URI

https://hrcak.srce.hr/564

Publication date:

15.12.2005.

Article data in other languages: croatian

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