Interdisciplinary management of recession defects on maxillary single tooth implants: Diagnosis and treatment strategies

Objective One of the most common complications with dental implants placed in the smile zone is the development of mid‐facial recession, creating an undesirable esthetic result. When deciding how to remediate these clinical scenarios, the question becomes whether it may be feasible to save the probl...

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Bibliographic Details
Published in:Journal of esthetic and restorative dentistry 2022-01, Vol.34 (1), p.167-180
Main Authors: Tarnow, Dennis P., Chu, Stephanie M., Chu, Stephen J.
Format: Article
Language:English
Subjects:
Dental Implantation, Endosseous
Dental implants
Dental Implants, Single-Tooth
dental materials
Dental prosthetics
Diagnosis
digital dentistry
Esthetics, Dental
Humans
implants
Maxilla - surgery
Periodontics
prosthodontics
Treatment Outcome
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Summary:Objective One of the most common complications with dental implants placed in the smile zone is the development of mid‐facial recession, creating an undesirable esthetic result. When deciding how to remediate these clinical scenarios, the question becomes whether it may be feasible to save the problematic implant or if it is more predictable to remove the implant and start all over again. However, patients may be invested emotionally, physically, and financially in the implant and remediation may be a viable option depending on the diagnosis of the specific issues at hand and multi‐disciplinary clinical execution. Clinical Significance What is crucial to understand in order to remediate these cases is answering four separate criteria: (1) is the implant in a restorable position, (2) is the implant healthy, (3) is the implant placed at an adequate depth, and (4) are components available to restore the implant. Conclusions Two different clinical reports are presented that demonstrate various treatment remedies when saving implants in the esthetic zone.
ISSN:1496-4155
1708-8240
DOI:10.1111/jerd.12853