تقرير
Guided protocol for indirect fabrication of a custom provisional restoration prior to immediate implant surgery in the esthetic zone.
العنوان: | Guided protocol for indirect fabrication of a custom provisional restoration prior to immediate implant surgery in the esthetic zone. |
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المؤلفون: | Vargas SM; Department of Periodontics, Army Postgraduate Dental School, Uniformed Services University of the Health Sciences, Fort Gordon, Georgia., Dimalanta WG; Department of Prosthodontics, Army Postgraduate Dental School, Uniformed Services University of the Health Sciences, Fort Gordon, Georgia., Johnson TM; Department of Periodontics, Army Postgraduate Dental School, Uniformed Services University of the Health Sciences, Fort Gordon, Georgia. |
المصدر: | Clinical advances in periodontics [Clin Adv Periodontics] 2023 Dec; Vol. 13 (4), pp. 217-226. Date of Electronic Publication: 2023 Jan 08. |
نوع المنشور: | Case Reports |
اللغة: | English |
بيانات الدورية: | Publisher: Wiley Subscription Services, Inc Country of Publication: United States NLM ID: 101597440 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2163-0097 (Electronic) Linking ISSN: 21630097 NLM ISO Abbreviation: Clin Adv Periodontics Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Hanover, PA : Wiley Subscription Services, Inc. Original Publication: Chicago, IL : American Academy of Periodontology |
مواضيع طبية MeSH: | Dental Implants, Single-Tooth*, Humans ; Female ; Reproducibility of Results ; Dental Restoration, Temporary ; Esthetics, Dental ; Treatment Outcome |
مستخلص: | Background: Delivery of a high-quality provisional restoration at a maxillary anterior immediate implant site enhances patient-centered outcomes and promotes development of favorable hard and soft tissue architecture. The purpose of this report is to present a protocol relying upon compatible guided surgery and laboratory systems for fabrication of a custom provisional crown prior to immediate implant surgery in the esthetic zone. Methods and Results: A female patient, aged 33 years, presented to the Army Postgraduate Dental School, Fort Gordon, Georgia, with an unfavorable prognosis for tooth #9. The patient elected extraction with immediate implant placement. Prior to the surgery, we utilized a cone-beam computed tomography volume, stone models, implant planning software, and an implant indexing system to fabricate a custom provisional crown. Following extraction of tooth #9 and immediate implant placement, the provisional crown exhibited excellent fit and finish, requiring virtually no chairside adjustment. We noted minimal change in baseline mucosal contours throughout the healing phase. Conclusion: The clinical/restorative protocol described in this report assured accurate three-dimensional implant positioning and permitted indirect fabrication of a high-quality custom provisional crown in advance of surgery. The laboratory workflow-which dental technicians/auxiliaries can master-has the potential to shorten surgery, enhance treatment outcomes, and increase patient satisfaction. Key Points: Why is this case new information? This report provides a stepwise workflow guiding indirect fabrication of a custom provisional crown prior to immediate implant placement. What are the keys to successful management of this case? The described technique requires compatible laboratory and guided surgery systems to assure that the restoration accounts for the three-dimensional position and timing of the implant. What are the primary limitations to success in this case? Dental technicians/auxiliaries can master this protocol and independently produce high-quality provisional implant restorations under supervision, potentially enhancing practice efficiency. However, practitioners should provide adequate staff training to optimize reliability and quality. (Published 2022. This article is a U.S. Government work and is in the public domain in the USA.) |
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فهرسة مساهمة: | Keywords: clinical protocols; cone-beam computed tomography; dental implants; esthetics; patient satisfaction; treatment outcome |
تواريخ الأحداث: | Date Created: 20220619 Date Completed: 20231225 Latest Revision: 20240403 |
رمز التحديث: | 20240404 |
DOI: | 10.1002/cap.10215 |
PMID: | 35717679 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2163-0097 |
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DOI: | 10.1002/cap.10215 |