Theaimof this study was to achieve aesthetically pleasing soft tissue contours in a severely compromised tooth in the anterior region\nof the maxilla. For a right-maxillary central incisor with localized advanced chronic periodontitis a tooth extraction followed by\nreconstructive procedures and delayed implant placement was proposed and accepted by the patient. Guided bone regeneration\n(GBR) technique was employed,with a biphasic calcium-phosphate (BCP) block graft placed in the extraction socket in conjunction\nwith granules of the same material and a resorbable barrier membrane. After 6 months of healing, an implant was installed.\nThe acrylic provisional restoration remained in situ for 3 months and then was substituted with the definitive crown. This ridge\nreconstruction technique enabled preserving both hard and soft tissues and counteracting vertical and horizontal bone resorption\nafter tooth extraction and allowed for an ideal three-dimensional implant placement. Localized severe alveolar bone resorption\nof the anterior maxilla associated with chronic periodontal disease can be successfully treated by means of ridge reconstruction\nwith GBR and delayed implant insertion; the placement of an early-loaded,Morse taper connection implant in the grafted site was\neffective to create an excellent clinical aesthetic result and to maintain it along time.
Loading....