* denotes required field

Your Name: *



Gender: *

Personal Email: *

This will be your username

Password: *

Display Name: *

This will be what others see in social areas of the site.

Address: *










Phone Number:

School/University: *

Graduation Date: *

Date of Birth: *

ASDA Membership No:





Hi returning User! please login with Facebook credentials where Facebook Username is same as THENEXTDDS Username.




Case Study
Comments (0)

Anterior Implant-Supported Reconstructions--A Case Report

Learning Objectives

After reviewing this case study, the reader should:

  • Have a better understanding and visualization of the process of reconstructing implant supported restorations
  • See how some cases are better solved using the interdisciplinary skills of various professionals


Interdisciplinary treatment planning and the development of a comprehensive surgical and restorative approach are critical factors in the final aesthetic success of a clinical case. Complete reconstruction of tooth- and gingiva-related aesthetics that match the appearance of the natural healthy tissues remains the ultimate objective of any treatment. 

To a large extent, the predictability of aesthetic success depends on the degree of tissue loss present at the initiation of the treatment. Consequently, the use of single-unit implant-supported restorations have a high degree of predictability, since the adjacent natural teeth--with intact bone and soft tissue attachment--can provide the morphological substructure that is required to restore natural gingival and papillary architecture. The objective of this article is to discuss contemporary techniques utilized to replace a single missing tooth in the anterior maxilla. 

Treatment of the anterior maxilla with implant-supported restorations remains a challenge and requires thorough treatment planning between the oral surgeon and the prosthodontist, particularly if the area of the deficient teeth is compromised by additional tissue loss. Fabrication of a waxup and a detailed stent for the implant placement appear to be helpful initial steps. A conservative treatment using primarily pressure to form the marginal tissues to the desired shape appears to improve the predictability of achieving an aesthetic result - even with compromised patients. In order to improve the long-term stability of such results, however, the interface between implants and abutments may require reconsideration. 


Related Reading

  1. Jovanovic SA. Bone rehabilitation to achieve optimal implant aesthetics. Pract Periodont Aesthet Dent 1997;9(1):41-52.
  2. Simion M, Jovanovic SA, Trisi P, et al. Vertical ridge augmentation around dental implants using a membrane technique and autogenous bone or allografts in humans. Int J Periodont Rest Dent 1998;18(1):8-23.
  3. Wohrle PS. Single-tooth replacement in the aesthetic zone with immediate provisionalization: Fourteen consecutive case reports. Pract Periodont Aesthet Dent 1998;10(9):1107-1114.
  4. Buser D, Dula K, Hirt HP, Schenk RK. Lateral ridge augmentation using autografts and barrier membranes: A clinical study with 40 partially edentulous patients. J Oral Maxillofac Surgery 1996;54(4):420-433.
  5. Kois JC. Altering gingival levels: The restorative connection. Part 1: Biologic levels. J Esthet Dent 1994;6(1):3-9.
  6. Saadoun AP, Le Gall MG. Periodontal implications in implant treatment planning for aesthetic results. Pract Periodont Aesthet Dent 1998;10(5):655-664.
  7. Azzi R. Electrosurgery in periodontics: A literature review. J West Soc Periodontol 1981;29(1):4-10.
  8. Azzi R, Kenney EB, Tsao TF, Carranza FA. The effect of electrosurgery on alveolar bone. J Periodontol 1983;54(2):96-100.
  9. De Vitre R, Galburt RB, Maness WJ. Biometric comparison of bur and electrosurgical retraction methods. J Prosthet Dent 1985;53(2):179-182.
Have a case study of your own? Submit it to us!
Sorry, your current access level does not permit you to view this page.