Digital flow in unitary dental implants rehabilitation in anterior sector. Surgical and prosthetic planning. Case report
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Moreno Pérez, Natalia ; Peña Cardelles, Juan Francisco [1] ; Otero Mena, Isabel [1] ; Ortega Concepción, Daniel [1] ; Moreno Pérez, Jesús [1]
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[1] Universidad Rey Juan Carlos
Universidad Rey Juan Carlos
Madrid, España
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- Localización: Científica dental: Revista científica de formación continuada, ISSN 1697-6398, ISSN-e 1697-641X, Vol. 17, Nº. Extra 4 (Versión en inglés de los trabajos ganadores y los segundos clasificados de los premios de la revista), 2020, págs. 42-51
- Idioma: inglés
- Enlaces
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Resumen
Aim: The purpose of this article is to present a clinical case of high aesthetic demand. Such planning and treat with digital flow, included diagnosis, prosthetic planning and finally, the placement of the final prosthesis.
Case report: A 52-year-old woman presents a fracture of the tooth 2.1. After diagnosis and analysis both clinically and radiographically, an impossible restorative prognosis is determined for 2.1, planning implant-supported rehabilitation as treatment. A scan of the area to be treated was carried out to carry out a detailed study of the case and the preparation of a provisional crown, which was screwed at the same time of surgery to an implant placed immediately post-extraction. Besides, hard and soft tissue graft were placed to guarantee the maintenance of the peri-implant contours. After the implant osteointegration, the contour of the provisional crown was scanned to obtain a suitable emergence profile and gingival tissue volume. Both the emergency profile obtained and the contour of the provisional were scanned together with the position of the implant for the preparation of the final metalceramic restoration. After six months, it can observe an ideal soft tissue aesthetic and perfect maintenance of the entire gingival architecture.
Conclusion: The management of the anterior superior aesthetic sector shows a clear aesthetic demand. In cases of tooth loss at this location, fixed implant rehabilitation is the treatment of choice. However, to achieve an adequate and predictable result, proper surgical and prosthetic management is essential. Digital flow it present like alternative and a quality leap in the therapeutic approach to these cases, a more accurate and individualized treatment, and the information that is transferred to the prosthetic laboratory is more simple and efficient.
