Abstract
Dental implants represent the gold standard for the treatment of single edentulism, even in anterior areas. Today, the basic criteria for implant success has changed from mobility, pain, radiolucency, and peri-implant bone loss (>1.5 mm) to prosthetic level success, aesthetics, soft tissue parameters, as well as patient satisfaction. This case report documents a combination of surgical and prosthetic procedures for the treatment of gingival recessions in the anterior maxilla, appearing after tooth extraction, socket preservation, and staged guided implant placement. Prosthetic management of the temporary restoration, orthodontic treatment, and a connective tissue graft were performed. The decision-making process and step-by-step execution of the treatments are presented to describe the entire clinical and surgical management of the reported case. Finally, good aesthetic outcomes, patient satisfaction, and recovery of the soft tissue recession were observed with the combination of these techniques.
Highlights
Tooth loss causes inevitable remodeling processes of the alveolar bone in the area of the extraction
Immediate implant placement and loading seem to be the gold standard in the anterior area, but mid-facial mucosa recession could compromise the final aesthetic outcomes [7]
The presented case report describes a successful combination of non-surgical and surgical procedures for the management of an aesthetic complication occurring after implant placement in the anterior maxilla
Summary
Tissue Recession around a Dental Implant in Anterior Maxilla: How to Manage Soft Tissue When Things Go Wrong? Umberto Uccioli 1, Alberto Fonzar 2, Stefania Lanzuolo 3, Silvio Mario Meloni 4, Aurea Immacolata Lumbau 4, Marco Cicciù 5 and Marco Tallarico 4,* Citation: Uccioli, U.; Fonzar, A.; Lanzuolo, S.; Meloni, S.M.; Lumbau, A.I.; Cicciù, M.; Tallarico, M. Tissue Recession around a Dental Implant in Anterior Maxilla: How to Manage Soft Tissue When Things Go Wrong? Prosthesis 2021, 3, 209–220. https://doi.org/10.3390/ prosthesis3030021
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