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Implant placement in anterior aesthetic zone: a clinical case presentation.

Author: 
Dr. Mayur J Gawande, Dr. Chandrashekhar Bande, Dr. Neha Khodaskar, Dr. Manu Goel, Dr. Pavan Rathod and Dr. Poonam M. Gawande
Subject Area: 
Health Sciences
Abstract: 

Introduction: A Dental implant placement is a surgical procedure in which component of implant interfaces with the bone of the jaw or skull to support a dental prosthesis such as a crown, bridge, denture. A successful implant placement in aesthetic zone is depends on the health of the person receiving the treatment, drugs which affect the chances of osseointegration, density of bone and the health of the tissues in the mouth. Implant placement in the anterior maxilla remains a challenge to surgeons because of functional and aesthetic results. Dental implants may be used to replace single or multiple teeth, or provide abutments for complete dentures or partial dentures. This case report study is representative of such instance, when following the correct guidelines, a successful outcome is made possible when aesthetic result is prime concern. The aim of this article to present case report with replacement of missing anterior teeth in compromised site with Dental Implants and bone graft to obtain desirable result in aesthetic zone. Case Report: A 30 year male patient visited to the Department of Oral & Maxillofacial Surgery at, Nagpur with chief complaints of loss of upper front teeth due to trauma 2 year back. On detailed intra oral examination revealed that missing teeth on 11,21 & 22 regions. After proper treatment planning endo-osseous implant followed by Alloplast bone graft was placed and guided tissue regeneration membrane was placed on the labial bony surface in defect area. Conclusion: The case report includes the planning, execution and outcome stages of an Implant in the anterior maxilla. Implant therapy fulfil both functional and aesthetic concerns of the patient as it is considered a primary treatment modality Before surgical placement of a Dental Implant, the adequate hard and soft tissue must be available. The clinician must consider the time needed for Implant Osseo integration (total integration of Implant within the Bone) and soft-tissue healing around the implant, creation of emergence profiles, occlusal loading forces in relationship to progressive masticatory forces on the final restoration.

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