关键词: dental implants esthetic dentistry fixed dental prosthesis guided bone regeneration pontics soft tissue grafting

Mesh : Humans Prosthodontics Esthetics, Dental Denture, Partial, Fixed Tooth Extraction

来  源:   DOI:10.1111/jerd.13192

Abstract:
OBJECTIVE: Ridge deformities are present in most patients after tooth extraction; these defects make the management of future implant and pontic sites challenging to deal with. The restorative team should be able to diagnose and treat these deformities to allow for successful outcomes. Many approaches have been described to reconstruct pontic sites, each with specific indications. This article describes the different approaches to reconstructing pontic sites and their indications to allow for a proper esthetic and biological environment for future restorations.
METHODS: Depending on the severity of the defect, location, and the esthetic necessity, pontic site enhancement can be done through different approaches, some requiring soft tissue grafting, hard tissue grafting, or both. Understanding the indications of the treatment options is essential to allow the clinician to make the right therapeutic decision and achieve the best possible perio-prosthodontic outcomes.
CONCLUSIONS: An adequate balance between the soft tissue and prosthetics is essential to achieve successful results on implant-supported or tooth-supported fixed dental prostheses (FDPs). Selecting the right approach to treat ridge deformities is necessary to increase treatment success, reduce over-treatment, and create a biologically sound environment for restorations.
CONCLUSIONS: Pontic site enhancement through reconstructive surgery will allow for esthetically pleasing and biologically stable results, allowing restorations to emulate natural structures lost after tooth extraction.
摘要:
目的:大多数患者在拔牙后都存在脊畸形;这些缺陷使得未来种植体和桥体部位的管理具有挑战性。修复团队应该能够诊断和治疗这些畸形,以取得成功的结果。已经描述了许多方法来重建桥体遗址,每个都有特定的适应症。本文介绍了重建桥体位点的不同方法及其适应症,以允许为将来的修复提供适当的美学和生物环境。
方法:根据缺陷的严重程度,location,和审美的必要性,桥体位点增强可以通过不同的方法来完成,有些需要软组织移植,硬组织移植,或者两者兼而有之。了解治疗方案的适应症对于临床医生做出正确的治疗决定并实现最佳的口腔修复结果至关重要。
结论:软组织和假体之间的适当平衡对于在植入物支持或牙齿支持的固定假牙(FDP)上取得成功的结果至关重要。选择正确的方法治疗山脊畸形是增加治疗成功率的必要条件,减少过度治疗,并为修复创造一个生物学上健全的环境。
结论:通过重建手术增强Pontic部位将获得美观和生物学稳定的结果,允许修复体模仿拔牙后失去的自然结构。
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