Anterior Maxilla Rehabilitation with Implants, Subepithelial Connective Tissue and Alloplastic Bone Grafts: A Case Report
André Gustavo Paleari *
Department of Restorative Dentistry, Alfenas Dental School, Federal University of Alfenas, Rua Gabriel Monteiro da Silva 700, Centro, Zip Code: 37.130-001, Alfenas, MG, Brazil.
Cristina Dupim Presoto
Department of Restorative Dentistry, São Paulo State University (Unesp), School of Dentistry, Araraquara. Rua Humaitá 1680, Centro, Zip Code: 14.801-903, Araraquara, SP, Brazil
Gabriela Mayara Oliveira Nascimento
Department of Restorative Dentistry, Alfenas Dental School, Federal University of Alfenas, Rua Gabriel Monteiro da Silva 700, Centro, Zip Code: 37.130-001, Alfenas, MG, Brazil
Luiz Antônio Borelli Barros
Department of Social Dentistry, São Paulo State University (Unesp), School of Dentistry, Araraquara. Rua Humaitá 1680, Centro, Zip Code: 14.801-903, Araraquara, SP, Brazil
Ana Carolina Pero
Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp), School of Dentistry, Araraquara, Rua Humaitá 1680, Centro, Zip Code: 14.801-903, Araraquara, SP, Brazil
Marco Antonio Compagnoni
Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp), School of Dentistry, Araraquara, Rua Humaitá 1680, Centro, Zip Code: 14.801-903, Araraquara, SP, Brazil
*Author to whom correspondence should be addressed.
Abstract
The prosthetic rehabilitation of anterior teeth with osseointegrated implants is still a challenge in implantology. To avoid aesthetic complications in areas with bone or mucosal defects, it is often necessary to use bone and soft tissue grafts with the implants. This article describes the surgical and prosthodontic approach to such a patient where removal of the maxillary central incisors was performed and implants were immediately placed. To avoid the loss of bone and mucosal tissues, alloplastic bone graft and subepithelial connective tissue grafts were used. The prosthetic phase of treatment was performed after the period of osseointegration period, allowing for aesthetic harmony between the prosthesis and gingival tissue.
Keywords: Dental implant, alloplastic bone graft, subepithelial connective tissue graft.