Fogorvosi szemle, 2021 (114. évfolyam, 1-4. szám)

2021-12-01 / 4. szám

FOGORVOSI SZEMLE

114. évf. 4. sz. 2021.

n

185

8. ROE P, KAN JYK, RUNGCHARASSAENG K: Residual root preparation for socket-shield procedures: a facial window approach. Int J Esthet Dent 2017; 12 (3): 324–335.

9. VADÓCZ R, CSÁSZÁR Z, NAGY K, KIVOVICS P: Guided Biofilm Therapy. Magyar Fogorvos 2016; 5 238–241.

10. WEIGL P, STRANGIO A: The impact of immediately placed and restored single-tooth implants on hard and soft tissues in the anterior maxilla. Eur J Oral Implantol

2016; 9 Suppl 1: S89–106.

11. WITTNEBEN JG, JODA T, WEBER HP, BRÄGGER U: Screw retained vs. cement retained implant-supported fixed dental prosthesis. Periodontol 2000 2017; Feb. 73 (1): 141–151. https://doi.org/10.1111/prd.12168

12. ZALECKIENE V, PECIULIENE V, BRUKIENE V, DRUKTEINIS S: Traumatic dental injuries: etiology, prevalence and possible outcomes. Stomatologija

2014; 16: 7–14.

13. ZUHR O, STAEHLER P, HÜRZELER M: Complication Management of a Socket Shield Case After 6 Years of Function. Int J Periodontics Restorative Dent 2020; 40 (3), 409–415. https://doi.org/10.11607/prd.4648

14. https://www.nobelbiocare.com/blog/tag/angulated-screw-channel/ (2020.11.20.)

MIKLÓS R, KEMPER R

Complex rehabilitation of traumatized permanent teeth in the aesthetic zone

Case study

The aim of this case study is to present our treatment method for the restoration of traumatic lesions of teeth following a bicycle accident. Four upper incisors were injured; thus, special consideration was required in timing of the treatment sequence. The prognosis for teeth #11, 12, and 22 was discouraging; furthermore, due to accident, tooth #21 suffered additional rotation and discolouration. In order to preserve the original form and the aesthetics of the mucosa as well as the height of the interdental papillae, immediate implant placement in combination with the socket shield technique were chosen. To accommodate the timing and the state-of-art realisation of the surgical procedure, placements of the three implants were divided into two separate sessions . Whilst immediate replacement of tooth #11 was possible, the placement of the two other implants was only feasible after a healing period of three months. Temporary crowns were placed to preserve aesthetic mucosal margins and the emergence profiles prior to impression, which was taken using individualised custom impression copings. A pressable ceramic veneer was chosen to hide the discolouration of tooth 21. The outcome shows suitable aesthetic, stable soft tissues, preserved emergence profiles, metal-free screw-retained implant crowns, and a veneer, all of which confirm the correct choice for the treatment modality.

Keywords: accident, socket shield technique, immediate implant placement, metal-free

Case report