Skip to main content
SpringerLink
Log in

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

  • Original article
  • Published:
Stomatologie

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Balshi TJ (1993) Osseointegration and orthodontics: Modern treatment for congenitally missing teeth. Int J Periodontics Restorative Dent 13: 494–505

    PubMed  Google Scholar 

  • 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: 303–310

    Article  Google Scholar 

  • Belser UC, Bernard JP, Buser D (1996) Implant-supported restorations in the anterior region: Prosthetic considerations. Pract Periodontics Aesthet Dent 8: 875–883

    PubMed  Google Scholar 

  • 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: 119–129

    Article  PubMed  Google Scholar 

  • Boyer D, Williams V, Thayer K, Denehy G (1993) Analysis of debond rates of resin-bonded bridges. J Dent Res 72: 1244–1248

    Article  PubMed  Google Scholar 

  • 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: 687–693

    Article  PubMed  Google Scholar 

  • Buser D, Brägger U, Lang NP, Nyman S (1990) Regeneration and enlargement of jaw bone using guided tissue regeneration. Clin Oral Implant Res 1: 22–32

    Article  Google Scholar 

  • 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: 43–61

    PubMed  Google Scholar 

  • Cronin RJ, Oesterle LJ (1998) Implant use in growing patients. Treatment planning concerns. Dent Clin North Am 42: 1–34

    PubMed  Google Scholar 

  • Dietschi D, Schatz JP (1997) Current restorative modalities for young patients with missing anterior teeth. Quintessence Int 28: 231–240

    PubMed  Google Scholar 

  • 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–S67

    Article  PubMed  Google Scholar 

  • 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: 639–644

    Article  PubMed  Google Scholar 

  • Graber LW (1978) Congenital absence of teeth: a review with emphasis on inheritance patterns. J Am Dent Assoc 96: 266–275

    Article  PubMed  Google Scholar 

  • Grunder U (2000) Stability of the mucosal topography around single-tooth implants and adjacent teeth: One-year results. Int J Periodontics Restorative Dent 20: 11–17

    PubMed  Google Scholar 

  • Grunder U, Gracis S, Capelli M (2005) Influence of the 3-D bone-to-implant relationship on esthetics. Int J Periodontics Restorative Dent 25: 113–119

    PubMed  Google Scholar 

  • 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: 2038–2042

    PubMed  Google Scholar 

  • Jovanovic SA (2007) Bone rehabilitation to achieve optimal aesthetics. Pract Proced Aesthet Dent 19: 569–576

    PubMed  Google Scholar 

  • Kennedy DB (1999) Orthodontic management of missing teeth. J Can Dent Assoc 65: 548–550

    PubMed  Google Scholar 

  • Kleck RE, Strenta A (1980) Perceptions of the impact of negatively valued physical characteristics on social interactions. J Pers Soc Psychol 39: 861–873

    Article  Google Scholar 

  • Kokich VO, Kinzer GA (2005) Managing congenitally missing lateral incisors. Part I: Canine substitution. J Esthet Restor Dent 17: 5–10

    Article  PubMed  Google Scholar 

  • 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: 22–33

    PubMed  Google Scholar 

  • 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: 327–333

    PubMed  Google Scholar 

  • Lombardi RE (1973) The principles of visual perception and their clinical application to denture esthetics. J Prosthet Dent 29: 358–382

    Article  PubMed  Google Scholar 

  • 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: 645–649

    Article  PubMed  Google Scholar 

  • 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: 159–164

    Article  PubMed  Google Scholar 

  • Müller HP, Eger T (1997) Gingival phenotypes in young male adults. J Clin Periodontol 24: 65–71

    Article  PubMed  Google Scholar 

  • Müller, HP, Eger T (2002) Masticatory mucosa and periodontal phenotype: A review. Int J Periodontics Restorative Dent 22: 172–183

    PubMed  Google Scholar 

  • 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: 272–279

    Article  PubMed  Google Scholar 

  • 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: 5676–5681

    Article  PubMed  PubMed Central  Google Scholar 

  • 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: 217–226

    Article  PubMed  Google Scholar 

  • 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: 331–337

    Article  PubMed  Google Scholar 

  • 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: 504–518

    Article  PubMed  Google Scholar 

  • Scharf DR, Tarnow DP (1992) Modified rolltechnique for localized alveolar ridge augmentation. Int J Periodontics Restorative Dent 12: 415–425

    PubMed  Google Scholar 

  • Scurria MS, Bader JD, Shugars DA (1998) Meta-analysis of fixed partial denture survival: prostheses and abutments. J Prosthet Dent 79: 459–464

    Article  PubMed  Google Scholar 

  • 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: 36–40

    Google Scholar 

  • 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: 35–45

    Article  PubMed  Google Scholar 

  • Small PN, Tarnow DP (2000) Gingival recession around implants: A one-year longitudinal prospective study. Int J Oral Maxillofac Implants 15: 527–532

    PubMed  Google Scholar 

  • 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: 119–128

    Article  PubMed  Google Scholar 

  • 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: 1785–1788

    Article  PubMed  Google Scholar 

  • 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: 995–996

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

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

    Burghard Peter

Authors
  1. Burghard Peter
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Burghard Peter.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Peter, B. Optimizing esthetics for implant rehabilitation in maxillary lateral incisors aplasia: multidisciplinary considerations and 7 years follow-up case report. Stomatologie 106, 157–163 (2009). https://doi.org/10.1007/s00715-009-0104-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00715-009-0104-y

Keywords

Search

Navigation