title: Ridge expansion and immediate implant placement in the esthetic zone.
abstract: Implant placement and tooth restoration in the maxillary esthetic zone is challenging. In the case reported here, the treatment site was tooth # 8, which had been extracted one year previously. Available bone in three dimensions was evaluated by computerized tomography. The bucco-lingual bone width at the crest was 3 mm to 4 mm wide, an inadequate width for implant placement. Ridge expansion was accomplished with hand osteotomes, followed by tapered drills. A 4.3 x 13 mm Nobel Biocare implant was placed. Following osseointegration, a PFM crown, supported by an esthetic abutment, was placed. A very pleasing esthetic result was achieved.
authors.affiliation: Surgical & Prosthetic Implant Program, New York University College of Dentistry, New York, New York, USA. lakshdene@hotmail.com
authors.forename: Lakshman
authors.initials: L
authors.lastname: Dene
authors.forename: Spyridon
authors.initials: S
authors.lastname: Condos
mesh_terms: D000328:Adult; D016301:Alveolar Bone Loss / Q000000981:diagnostic imaging; D000540:Alveolar Ridge Augmentation / Q000379:methods; D003442:Crowns; D003758:Dental Implantation, Endosseous; D019250:Dental Implants, Single-Tooth; D019094:Dental Prosthesis, Implant-Supported; D005260:Female; D006801:Humans; D007180:Incisor; D008437:Maxilla; D011859:Radiography; D013997:Time Factors