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CASE REPORT COMPETITION
Year : 2018  |  Volume : 18  |  Issue : 5  |  Page : 37

CRC5: Soft tissue moulding technique in immediate implant placement and provisionalization


Date of Web Publication31-Oct-2018

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4052.244659

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How to cite this article:
. CRC5: Soft tissue moulding technique in immediate implant placement and provisionalization. J Indian Prosthodont Soc 2018;18, Suppl S1:37

How to cite this URL:
. CRC5: Soft tissue moulding technique in immediate implant placement and provisionalization. J Indian Prosthodont Soc [serial online] 2018 [cited 2018 Nov 20];18, Suppl S1:37. Available from: http://www.j-ips.org/text.asp?2018/18/5/37/244659



Ou, Shiu-Fong, Lin, Li-Deh, Wang, Tong-Mei

Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, Taiwan

Introduction: Although immediate implant placement can reduce discomfort from multiple surgeries, it is always a challenging procedure. Initial implant stability to achieve osseointegration and final soft tissue contour are main concerns. In this case presentation, details in immediate implant placement and soft tissue moulding technique in immediate provisionalization will be reported. Some guidelines for promising aesthetic outcomes will also be reviewed.

Case Description: A 28-y/o female presented with root fracture of tooth 21. CBCT image revealed sufficient labial bone plate and no periapical lesion, which is ideal for immediate implant placement. A surgical guide for implant placement was fabricated before surgery. Flapless surgery and atraumatic tooth extraction was performed. Then the implant was placed into the socket. Implant insertion torque was higher than 30Ncm and immediate provisionalization was done as scheduled. The emergence profile of the provisional crown was adjusted once within the healing period of 6 months. After soft tissue and hard tissue matured, the gingival contour was transferred to the master cast and an all-ceramic restoration was fabricated and delivered.

Discussion: During soft tissue moulding, two zones of emergence profile should be taken into consideration- (i) aesthetic zone, from marginal gingiva to the level of subgingival 2-3mm, determines the soft tissue contour around the restoration, (ii) supporting zone, locating between bone and 1mm above implant platform, provides the stability of peri-implant tissue.

Conclusion: Rigorous selection criteria and delicate treatment procedures are key factors of success in immediate implant placement and provisionalization.






 

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