Stomatologie

, Volume 106, Issue 8, pp 157–163 | Cite as

Optimizing esthetics for implant rehabilitation in maxillary lateral incisors aplasia: multidisciplinary considerations and 7 years follow-up case report

Original article

Summary

Especially in the esthetic zone the management of dental agenesis is best achieved by an interdisciplinary team approach. The realisation of individually optimized rehabilitation outcomes is depending foremost on early diagnosis and the coordination of appropriate orthodontic, prosthodontic and oral-maxillofacial surgical handling options. Due to modern reconstruction techniques the final completion with single-tooth implants meanwhile represents the treatment of choice, independent of initial situations with local hard and soft tissue deficiencies. Prerequisites for esthetically optimized long-lasting results of implant-supported restorations are the establishment of a stable bone foundation and soft tissue profile as well as the proper 3-dimensional implant placement.

Keywords

Dental aplasia Dental implant Implant site Soft tissue biotype 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Balshi TJ (1993) Osseointegration and orthodontics: Modern treatment for congenitally missing teeth. Int J Periodontics Restorative Dent 13: 494–505PubMedGoogle Scholar
  2. Beganzi F, Wennström JL, Lekholm U (1996) Rezession of the soft tissue margin at oral implants. A 2-year longitudinal prospective study. Clin Oral Implants Res 7: 303–310CrossRefGoogle Scholar
  3. Belser UC, Bernard JP, Buser D (1996) Implant-supported restorations in the anterior region: Prosthetic considerations. Pract Periodontics Aesthet Dent 8: 875–883PubMedGoogle Scholar
  4. Bergendal B, Bergendal T, Hallonsten AL, Koch G, Kurol J, Kvint S (1996) A multidisciplinary approach to oral rehabilitation with osseointegration implants in children and adolescents with multiple aplasia. Eur J Orthod 18: 119–129CrossRefPubMedGoogle Scholar
  5. Boyer D, Williams V, Thayer K, Denehy G (1993) Analysis of debond rates of resin-bonded bridges. J Dent Res 72: 1244–1248CrossRefPubMedGoogle Scholar
  6. Bukhary SM, Gill DS, Tredwin CJ, Moles DR (2007) The influence of varying maxillary lateral incisor dimensions on perceived smile aesthetics. Br Dent J 203: 687–693CrossRefPubMedGoogle Scholar
  7. Buser D, Brägger U, Lang NP, Nyman S (1990) Regeneration and enlargement of jaw bone using guided tissue regeneration. Clin Oral Implant Res 1: 22–32CrossRefGoogle Scholar
  8. Buser D, Martin W, Belser UC (2004) Optimizing esthetics for implant restorations in the anterior maxilla: Anatomic and surgical considerations. Int J Oral Maxillofac Implants 19: 43–61PubMedGoogle Scholar
  9. Cronin RJ, Oesterle LJ (1998) Implant use in growing patients. Treatment planning concerns. Dent Clin North Am 42: 1–34PubMedGoogle Scholar
  10. Dietschi D, Schatz JP (1997) Current restorative modalities for young patients with missing anterior teeth. Quintessence Int 28: 231–240PubMedGoogle Scholar
  11. Fudalej P, Kokich VG, Leroux B (2007) Determining the cessation of vertical growth of the craniofacial structures to facilitate placement of single-tooth implants. Am J Orthod Dentofacial Orthop 131: S59–S67CrossRefPubMedGoogle Scholar
  12. Fürhauser R, Florescu D, Benesch T, Haas R, Mailath G, Watzek G (2005) Evaluation of soft tissue around single-tooth implant crowns: The pink esthetic score. Clin Oral Implants Res 16: 639–644CrossRefPubMedGoogle Scholar
  13. Graber LW (1978) Congenital absence of teeth: a review with emphasis on inheritance patterns. J Am Dent Assoc 96: 266–275CrossRefPubMedGoogle Scholar
  14. Grunder U (2000) Stability of the mucosal topography around single-tooth implants and adjacent teeth: One-year results. Int J Periodontics Restorative Dent 20: 11–17PubMedGoogle Scholar
  15. Grunder U, Gracis S, Capelli M (2005) Influence of the 3-D bone-to-implant relationship on esthetics. Int J Periodontics Restorative Dent 25: 113–119PubMedGoogle Scholar
  16. Högberg G, Lagerheim B, Sennerstam R (1986) The 9-year crisis reflected at a rehabilitation center, at a child health care center and at a child and adolescent psychiatric center. Lakartidningen 83: 2038–2042PubMedGoogle Scholar
  17. Jovanovic SA (2007) Bone rehabilitation to achieve optimal aesthetics. Pract Proced Aesthet Dent 19: 569–576PubMedGoogle Scholar
  18. Kennedy DB (1999) Orthodontic management of missing teeth. J Can Dent Assoc 65: 548–550PubMedGoogle Scholar
  19. Kleck RE, Strenta A (1980) Perceptions of the impact of negatively valued physical characteristics on social interactions. J Pers Soc Psychol 39: 861–873CrossRefGoogle Scholar
  20. Kokich VO, Kinzer GA (2005) Managing congenitally missing lateral incisors. Part I: Canine substitution. J Esthet Restor Dent 17: 5–10CrossRefPubMedGoogle Scholar
  21. Langer B, Calagna L (1982) The subepithelial connective tissues graft: A new approach to the enhancement of anterior cosmetics. Int J Periodontics Restorative Dent 2: 22–33PubMedGoogle Scholar
  22. Ledermann PD, Hassel TM, Hefti AF (1993) Osseointegrated implants as alternative therapy to bridge construction or orthodontics in young patients: seven years of clinical experience. Pediatr Dent 15: 327–333PubMedGoogle Scholar
  23. Lombardi RE (1973) The principles of visual perception and their clinical application to denture esthetics. J Prosthet Dent 29: 358–382CrossRefPubMedGoogle Scholar
  24. Meijer HJ, Stellingsma K, Meijndert L, Raghoebar GM (2005) A new index for rating aesthetics of implant-supported single crowns and adjacent soft tissues – the Implant Crown Aesthetic Index. Clin Oral Implants Res 16: 645–649CrossRefPubMedGoogle Scholar
  25. Mostowska A, Biedziak B, Trzeciak WH (2006) A novel c.581C>T transition localized in a highly conserved homeobox sequence of MSX1: is it responsible for oligodontia? J Appl Genet 47: 159–164CrossRefPubMedGoogle Scholar
  26. Müller HP, Eger T (1997) Gingival phenotypes in young male adults. J Clin Periodontol 24: 65–71CrossRefPubMedGoogle Scholar
  27. Müller, HP, Eger T (2002) Masticatory mucosa and periodontal phenotype: A review. Int J Periodontics Restorative Dent 22: 172–183PubMedGoogle Scholar
  28. Oates TW, West J, Jones J, Kaiser D, Cochran DL (2002) Long-term changes in soft tissue height on the facial surface of dental implants. Implant Dent 11: 272–279CrossRefPubMedGoogle Scholar
  29. Pereira TV, Salzano FM, Mostowska A, Trzeciak WH, Ruiz-Linares A, cjies JA, Saavedra C, Nagamachi C, Hurtado AM, Hill K, Castro-de-Guerra D, Silva-Jùnior WA, Bortolini MC (2006) Natural selection and molecular evolution in primate PAX9 gene, a major determinant of tooth development. Proc Natl Acad Sci USA 103: 5676–5681CrossRefPubMedPubMedCentralGoogle Scholar
  30. Polder BJ, Van't Hof MA, Van der Linden FP, Kuijpers-Jagtman AM (2004) A meta-analysis of the prevalence of dental agenesis of permanent teeth. Community Dent Oral Epidemiol 32: 217–226CrossRefPubMedGoogle Scholar
  31. Pyle SI, Waterhouse AM, Greulich WW (1971) Attributes of the radiographic standard of reference for the National Health Examination Survey. Am J Phys Anthropol 35: 331–337CrossRefPubMedGoogle Scholar
  32. Ruhin B, Martinot V, Lafforque P, Catteau B, Manouvrier-Hanu S, Ferri J (2001) Pure ectodermal dysplasia: Retrospective study of 16 cases and literature review. Cleft Palate Craniofac J 38: 504–518CrossRefPubMedGoogle Scholar
  33. Scharf DR, Tarnow DP (1992) Modified rolltechnique for localized alveolar ridge augmentation. Int J Periodontics Restorative Dent 12: 415–425PubMedGoogle Scholar
  34. Scurria MS, Bader JD, Shugars DA (1998) Meta-analysis of fixed partial denture survival: prostheses and abutments. J Prosthet Dent 79: 459–464CrossRefPubMedGoogle Scholar
  35. Silverstein LH, Lefkove MD, Garnick JJ (1994) The use of free gingival soft tissue to improve the implant/soft-tissue interface. J Oral Implantol 10: 36–40Google Scholar
  36. Simion M, Jovanovic SA, Tinti C, Benfenati SP (2001) Long-term evaluation of osseointegrated implants inserted at the time or after vertical ridge augmentation. A retrospective study on 123 implants with 1–5 year follow-up. Clin Oral Implants Res 12: 35–45CrossRefPubMedGoogle Scholar
  37. Small PN, Tarnow DP (2000) Gingival recession around implants: A one-year longitudinal prospective study. Int J Oral Maxillofac Implants 15: 527–532PubMedGoogle Scholar
  38. Spray JR, Black CG, Morris HF, Ochi S (2000) The influence of bone thickness on facial marginal bone response: Stage 1 placement through stage 2 uncovering. Ann Periodontol 5: 119–128CrossRefPubMedGoogle Scholar
  39. Tarnow D, Elian N, Fletcher P, Froum S, Magner A, Cho SC, Salama M, Salama H, Garber DA (2003) Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. J Periodontol 74: 1785–1788CrossRefPubMedGoogle Scholar
  40. Tarnow DP, Magner AW, Fletcher P (1992) The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J Periodontol 63: 995–996CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  1. 1.Private Practice for Maxillofacial & Plastic Surgery, MiraMed®SalzburgAustria

Personalised recommendations