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Rationale for esthetic tissue preservation of a fresh extraction socket by an implant treatment concept simulating a tooth replantation
Author(s) -
Trimpou Georgia,
Weigl Paul,
Krebs Mischa,
Parvini Puria,
Nentwig GeorgHubertus
Publication year - 2010
Publication title -
dental traumatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.82
H-Index - 81
eISSN - 1600-9657
pISSN - 1600-4469
DOI - 10.1111/j.1600-9657.2009.00831.x
Subject(s) - crown (dentistry) , dentistry , collar , soft tissue , tooth avulsion , cervical collar , implant , tooth replantation , medicine , gingival sulcus , orthodontics , incisor , surgery , cervical spine , engineering , mechanical engineering , root resorption , pathology , resorption
– In cases of an immediate insertion and loading of implants after a traumatic loss of the patient’s own dentition or due to an inevitable extraction of an anterior tooth, it is essential to provide the patient with an adequate provisional crown. A soft‐tissue recession must be avoided, whether it is due to a compression of the peri‐implant soft‐tissue caused by an over‐dimensioned restoration in the cervical collar of the provisional crown or to a too small dimensioned sulcus former. A simulation of the exact dimension of the lost tooth – especially on the cervical part of the new provisional restoration – is expected to preserve all relevant information and allows the design of a naturally looking emergence profile. Based on theoretical considerations and a case report, the authors intend to demonstrate that a near‐naturally dimensioned sealing of the dento‐gingival soft‐tissue collar may initiate a tissue‐maintaining healing process, similar to a tooth replantation. The natural dental crown, connected to an implant instead of the root, is applied for a tight sealing of the wound. If due to traumatic impact the tooth is no longer available, a naturally dimensioned crown restoration will serve as an alternative wound sealant.