Ridge expansion and immediate implant placement in the esthetic zone.
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.
Dene
Lakshman
L
Surgical & Prosthetic Implant Program, New York University College of Dentistry, New York, New York, USA. lakshdene@hotmail.com
Condos
Spyridon
S
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