Abstract
The reported clinical case describes the surgical procedure of ridge augmentation by using a “split crest” technique with a partial thickness flap and a subsequent implant-prosthetic rehabilitation aimed at treating a bilateral agenesis of the upper lateral incisors. In such cases with vestibule-palatal and mesial-distal scarce bone thicknesses associated with the need of a proper functional and aesthetic rehabilitation, the split crest technique is particularly suitable. In the case we reported, because of the poor bone thicknesses, we performed a minimally invasive split crest which allowed a correct insertion of the fixtures. This technique allowed us to achieve an optimal functional and aesthetic rehabilitation; moreover, we obtained a good emergency profile, ensuring the vitality of the close teeth and ensuring a good primary stability and the following osseointegration of dental implants.
Highlights
Tooth agenesis is one of the most frequent dental anomalies
The literature reports that lateral incisors are affected by agenesis in 2.2% of cases [1]
The patient here reported was 26 y/o: she showed a bilateral agenesis of the upper lateral incisors (Figure 1)
Summary
Tooth agenesis is one of the most frequent dental anomalies. Dental agenesis is clinically apparent because of the lack of one or more teeth: for this reason such alteration is one of the best candidates for implant-prosthetic rehabilitation. The literature reports that lateral incisors are affected by agenesis in 2.2% of cases [1]. When the agenesis affects the lateral incisors, besides the functional issues, the greater inconvenience is represented by the aesthetic reasons. It is necessary to ensure a good dental emergence profile, to obtain a correct prosthetic rehabilitation from both aesthetic and functional points of view [4]. These conditions are not always possible and the presence of an exiguous bone thickness forces the surgeon to change the axis of insertion of the implants, exposing the prosthetic restoration to the concrete risk of failure
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
