关键词: autografts bone regeneration gingival recession interdental papilla single‐tooth dental implant tooth socket

来  源:   DOI:10.1002/cap.10299

Abstract:
BACKGROUND: As the need for using dental implants to replace single missing teeth grows, so does the demand for greater esthetic results. However, achieving complete interproximal papillae fill in single-tooth implant restorations remains a challenge. The distally anchored connective tissue platform is a novel soft tissue augmentation technique that consists of harvesting an autogenous connective tissue graft from the palate, folding it, and positioning it at the level of the distal occlusal and buccal surfaces with the help of a distal sling suture to the adjacent distal tooth.
METHODS: This case report describes how a maxillary central incisor with compromised hard and soft tissues were replaced using a comprehensive treatment plan.
RESULTS: The clinical outcomes showed stable mucosal margin levels and complete papillae fill. The patient expressed satisfaction with the achieved results.
CONCLUSIONS: The distally anchored connective tissue graft platform performed at the time of implant placement emerges as a viable and effective soft tissue augmentation technique that yields highly esthetic results.
CONCLUSIONS: Why is this case new information? To the best of our knowledge, this is the first case report in the literature using the distally anchored connective tissue platform. What are the keys to successful management of this case? Adequate diagnosis and decision-making, resulting in a treatment plan focused on reconstructing both soft and hard tissues in a single-tooth implant within the esthetic area, yield favorable clinical, radiological, and patient-reported outcomes. What are the primary limitations to success in this case? The primary limitation of this study is its reliance on a single case report.
摘要:
背景:随着使用牙种植体代替单颗缺失牙齿的需求增长,对更大美学结果的需求也是如此。然而,在单齿种植体修复中实现完整的邻间乳头填充仍然是一个挑战。远端锚定的结缔组织平台是一种新颖的软组织增强技术,包括从上颚采集自体结缔组织移植物,折叠它,并在远端吊带缝合线的帮助下将其定位在远端咬合面和颊表面的水平上。
方法:本病例报告描述了如何使用综合治疗计划替换具有受损硬软组织的上颌中切牙。
结果:临床结果显示粘膜边缘水平稳定,乳头完全填充。患者对所取得的结果表示满意。
结论:在植入时进行的远端锚定的结缔组织移植平台是一种可行且有效的软组织增强技术,具有很高的美学效果。
结论:为什么这种情况是新信息?据我们所知,这是文献中使用远端锚定结缔组织平台的首例病例报告.成功处理此病例的关键是什么?充分的诊断和决策,导致治疗计划集中在美学区域内的单齿植入物中重建软组织和硬组织,产量良好的临床,放射学,和患者报告的结果。在这种情况下成功的主要限制是什么?这项研究的主要限制是它依赖于单个病例报告。
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