Strategy of Esthetic Implant Restoration in Maxillary Anterior Teeth with Severely Resorbed Labial Bone Plate: A Case Report

Abstract

As implant procedures become more common, many patients require more aesthetic restoration and shorter treatment periods. Maxillary anterior dentition is very challenging site for esthetic final restoration. It becomes more difficult at the site of labial bone resorption. A strategy for esthetics is necessary before extraction. Nineteen years old girl had maxillary anterior teeth with external root resorption and severe resorbed labial plate due to inflammation. Before extraction, antibiotics and anti-inflammatory drugs were administered to relieve the infection and inflammation. Eight weeks after extraction, implant was placed using computer guided surgery. Guided bone regeneration with transmucosal healing was performed and then, fixed provisional restoration was delivered immediately. Soft tissue molding was performed with modification of provisional crown for 6 months. We achieved esthetic final implant restoration in compromised maxillary anterior teeth.