Advanced Surgical and Restorative Therapies Aimed at Rehabilitation of a Severe Dentoalveolar Defect in the Esthetic Zone

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Advanced Surgical and Restorative Therapies Aimed at Rehabilitation of a Severe Dentoalveolar Defect in the Esthetic Zone

Author(s): Dental News

Abstract

This case report demonstrates 3-dimensional restoration of a severely damaged alveolar ridge. Prior extraction, surgical trauma and infection resulted in total loss of facial and palatal cortices in an esthetically critical area of the dentition. The compromised restorative and endodontic status of the adjacent canine precluded a conventional fixed bridge. Cytokine-enhanced stimulation of mesenchymal stem cells, combined with a resorbable rigid scaffold reconstructed the alveolar ridge, facilitating implant placement. Additional grafting at implant placement provided the restorative dentist with two osseointegrated fixtures. The residual soft tissue deficiency was compensated for with ceramics combined with CAD/CAM technology to provide an esthetic fixed restoration.

Introduction

Tooth loss will predictably result in 3-dimentional loss of hard and soft tissue volume.1,2 Not only does this complicate the placement of implants according to the restorative treatment plan, but long-term hygienic complications can result from less than ideal fixture positioning. When possible, many clinicians choose to place implants either at the time of extraction or shortly thereafter, attempting to minimize these complications.3 The literature contains numerous studies, case series and animal studies supporting this modality.4,5 Often, extraction sockets are augmented to prevent much of this localized .... READ MORE

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Advanced Surgical and Restorative Therapies Aimed at Rehabil... Dental News

Abstract This case report demonstrates 3-dimensional restoration of a severely damaged alveolar ridge. Prior extraction, surgical trauma and infection resulted in tota...

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Advanced Surgical and Restorative Therapies Aimed at Rehabilitation of a Severe Dentoalveolar Defect in the Esthetic Zone

Abstract

Introduction

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