title: A multidisciplinary treatment approach to a complicated maxillary dental trauma: a case report.
abstract: This case report describes the treatment of an 18-year-old male who lost two central maxillary incisors due to dental trauma. Because of a deep overbite and serious occlusal instability, the lost teeth 11 and 21 could not be replaced by a conventional fixed prosthesis. The vertical dimension of occlusion was increased using a Hawley-type appliance over a period of 1 year. When sufficient intermaxillary space was gained the alveolar ridge was augmented with a mandibular symphysis graft. Nine months later two one-stage non-submerged implants (ITI, Straumann, Waldenburg, Switzerland) were inserted. After further soft tissue adaptation to two temporary acrylic crowns, porcelain veneers were placed on the two implants and the lateral incisors.
authors.affiliation: Department of Periodontology and Fixed Prosthodontics, Faculty of Dentistry, University of Gent, Gent, Belgium. roos.leroy@ping.be
authors.forename: R L
authors.initials: RL
authors.lastname: Leroy
authors.forename: J K
authors.initials: JK
authors.lastname: Aps
authors.forename: F M
authors.initials: FM
authors.lastname: Raes
authors.forename: L C
authors.initials: LC
authors.lastname: Martens
authors.forename: J A
authors.initials: JA
authors.lastname: De Boever
mesh_terms: D000293:Adolescent; D000540:Alveolar Ridge Augmentation; D016025:Bone Transplantation; D003442:Crowns; D003758:Dental Implantation, Endosseous; D019250:Dental Implants, Single-Tooth; D003776:Dental Porcelain; D019094:Dental Prosthesis, Implant-Supported; D003801:Dental Veneers; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000293:injuries*; D008297:Male; D008312:Malocclusion, Angle Class II / Q000150:complications / Q000628:therapy; D008437:Maxilla; D009967:Orthodontic Appliances; D010347:Patient Care Planning; D014082:Tooth Fractures / Q000628:therapy; D016388:Tooth Loss / Q000628:therapy; D014092:Tooth Root / Q000293:injuries; D014716:Vertical Dimension
chemical_list: D003776:Dental Porcelain