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Computer‐aided planning of soft tissue augmentation with prosthetic guidance for the establishment of a natural mucosal contour in late implant placement
Author(s) -
Aslan Serhat,
Tolay Can,
Gehrke Peter
Publication year - 2019
Publication title -
journal of esthetic and restorative dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.919
H-Index - 60
eISSN - 1708-8240
pISSN - 1496-4155
DOI - 10.1111/jerd.12518
Subject(s) - implant , soft tissue , dentistry , natural (archaeology) , computer science , orthodontics , medicine , biomedical engineering , surgery , geology , paleontology
Objective Late implant placement in volume deficient sites has been considered a challenging situation for the establishment of a natural mucosal topography. Dimensional relations of hard and soft tissues together with the prosthetic components have not been clarified in the literature. The aim of this proof‐of‐concept case report was to establish the tooth‐like appearance with virtual planning prior to surgical intervention and to calculate the ideal amount of desired soft tissue. Clinical Considerations Minimum amount of tissue reconstruction was calculated with computer‐aided soft tissue augmentation and a temporary restoration mimicking the emergence profile of a molar was fabricated for guiding the peri‐implant mucosa in the early wound healing phase. After 4 months of healing, the final restoration was completed with a screw‐retained crown‐abutment. The 2‐year follow‐up period demonstrated a stability of the mucosal margin and peri‐implant health. Conclusions A natural mucosal contour could be established with the help of virtual planning. The calculation of required tissue quantity may help clinicians for the creation of a natural appearance in late implant placement. Clinical Significance Virtual soft tissue augmentation may determine the required tissue quantity and therefore, could play an important role in the establishment of natural mucosal contour for late implant placement.