title: Replacement of a fractured upper central incisor with an implant-supported crown: a step-by-step approach to achieve acceptable esthetics.
abstract: Implant-supported restorations in the upper anterior segment need to meet biological, functional, and esthetic requirements to be successful. Bone availability and soft-tissue characteristics in the area of implant placement are crucial for achieving maximum success. This article describes the steps involved in replacing a fractured upper central incisor with an implant-supported crown. Using surgical techniques involving extraction socket preservation/augmentation and connective tissue grafting, ideal positioning of the implant was possible and gingival contours were idealized. With this multiple step treatment, the final restoration met biological and functional requirements and its esthetic results were maximized.
authors.affiliation: Deparment of Podonriodontics, University of California Los of Dentistry, Los Angeles Schoool of Dentistry, California, USA.
authors.forename: Paulo M
authors.initials: PM
authors.lastname: Camargo
authors.forename: Philip R
authors.initials: PR
authors.lastname: Melnick
authors.forename: Omer
authors.initials: O
authors.lastname: Suleimanagich
authors.forename: Joao G P
authors.initials: JG
authors.lastname: Carnio
authors.forename: Luciano M
authors.initials: LM
authors.lastname: Camargo
mesh_terms: D001857:Bone Matrix / Q000637:transplantation; D018786:Bone Substitutes / Q000627:therapeutic use; D003094:Collagen; D003238:Connective Tissue / Q000637:transplantation; D003442:Crowns; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D004955:Esthetics, Dental; D006801:Humans; D007180:Incisor / Q000293:injuries*; D008297:Male; D008567:Membranes, Artificial; D008875:Middle Aged; D008903:Minerals / Q000627:therapeutic use; D016348:Osseointegration / Q000502:physiology; D014081:Tooth Extraction; D014082:Tooth Fractures / Q000628:therapy*; D014092:Tooth Root / Q000293:injuries; D020390:Tooth Socket / Q000601:surgery; D014945:Wound Healing / Q000502:physiology
chemical_list: C077540:Bio-Oss; D018786:Bone Substitutes; D015921:Dental Implants; D008567:Membranes, Artificial; D008903:Minerals; D003094:Collagen