title: Surgical and prosthetic management of ridge deficiency for an implant-supported restoration in the esthetic zone.
abstract: This clinical report presents the surgical and prosthetic management of a patient with complex needs involving anterior implants. After extraction and ridge augmentation, unexpected ridge resorption occurred. Two implants were placed in conjunction with an allograft skin material. Upon healing, 2 additional soft tissue augmentation procedures were performed with autologous pedicle connective tissue grafts to correct the residual ridge deficiency. At the second stage surgery, a modified flap approach was used to further enhance the soft tissue volume and contour. Definitive implant-supported splinted crowns with minimal interproximal pink ceramic material were provided.
authors.affiliation: Clinical Assistant Professor, Division of Periodontics, Eastman Institute for Oral Health, School of Medicine and Dentistry, University of Rochester, Rochester, NY. Electronic address: drdimitriosp@gmail.com.
authors.forename: Dimitrios E V
authors.initials: DE
authors.lastname: Papadimitriou
authors.affiliation: Clinical Assistant Professor, Department of Restorative Dentistry, Kornberg School of Dentistry, Temple University, Philadelphia, Pa.
authors.forename: Konstantinos M
authors.initials: KM
authors.lastname: Chochlidakis
authors.affiliation: Resident, Division of Periodontics, Eastman Institute for Oral Health, School of Medicine and Dentistry, University of Rochester, Rochester, NY.
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Weitz
authors.affiliation: Faculty lecturer, McGill University, Montreal, Canada.
authors.forename: Berge
authors.initials: B
authors.lastname: Wazirian
authors.affiliation: Associate Professor, Chair, and Program Director, Division of Prosthodontics, Eastman Institute for Oral Health, School of Medicine and Dentistry, University of Rochester, Rochester, NY.
authors.forename: Carlo
authors.initials: C
authors.lastname: Ercoli
mesh_terms: D064591:Allografts / Q000637:transplantation; D016301:Alveolar Bone Loss / Q000601:surgery*; D000540:Alveolar Ridge Augmentation / Q000379:methods; D064592:Autografts / Q000637:transplantation; D016025:Bone Transplantation / Q000379:methods; D003238:Connective Tissue / Q000637:transplantation; D003442:Crowns; D059605:Dental Implant-Abutment Design; D003758:Dental Implantation, Endosseous / Q000379:methods; D019094:Dental Prosthesis, Implant-Supported; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000293:injuries; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation / Q000601:surgery; D008875:Middle Aged; D010347:Patient Care Planning; D011183:Postoperative Complications; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps / Q000637:transplantation; D014081:Tooth Extraction; D014082:Tooth Fractures / Q000601:surgery; D020390:Tooth Socket / Q000601:surgery