Ayfer ATAMER, Esra BİLGİ ÖZYETİM, Fatih AYÇİÇEK, Gülsen BAYRAKTAR

ESTETİK BÖLGEDEKİ İMPLANT DESTEKLİ SABİT RESTORASYONLARDA DİŞETİ ÇIKIŞ PROFİLİNİN OLUŞTURULMASI: OLGU SUNUMU

Ön bölgede uygulanan restorasyonların kabul edilebilirliği için pekçok faktör bulunmaktadır. İmplantın dişler, dudaklar, dişeti ve çevre dokular ile ilişkisinin yanısıra implant pozisyonu, gülme hattı, dişeti çıkış profili, periodonsiyumun formu ve biyotipi bu faktörlerdendir. Ayrıca üst çene ön bölge diş eksikliklerinin implant destekli protezlerle tedavisi diğer bölgelere göre daha zordur. Hastaların yüksek estetik beklentileri, çıkış profili oluşturma ve doğru aktarma gerekliliği durumu daha da zorlaştırmaktadır. Bu olgu sunumunda üst ön kesici diş eksikliklerinde oklüzal vidalı geçici protezler kullanılarak çıkış profilinin oluşturulması, aktarılması ve implant destekli köprü protezi ile rehabilitasyonu anlatılmaktadır. Anahtar Kelimeler: Dişeti çıkış profili, implant, ön bölgeCREATING EMERGENCE PROFILE OF IMPLANT RETAINED FIXED RESTORATIONS AT THE ESTHETIC REGION: CASE REPORT There are many factors to acceptable restorastion in anterior region. The relationship between teeth, lips, gums and surronding tissues of implants as well as implant position, smile line, gingival emergence profile, biotype are one of these factors. The treat- ment for missing teeth with implant retained prost- hesis in the maxillary anterior region is more difficult other regions. The complexity of the anterior teeth restorations are complicated because of patient’s high expectations, creating emergence profile and accurately transfer. In this case report, absance of maxillary anterior incisors restorated with implant retained fixed prostheses; created and transfered emergence profile with interim prostheses by using occlusal screw was presented. Key Words: Emergence profile, implant, anterior region

Anahtar Kelimeler:

Dişeti çıkış profili, implant

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1. Chiche GJ, Pinault A. Esthetics of Anterior Fixed Prosthodontics, 1st ed. Chicago; Quintessence publishing Co.Inc: 1994.p.13.
2. Ritu Batra, Sanjay Kalra, Hemant Batra. Implant esthetics. Indian Journal of Dentistry. 2010;3:15-20
3. Kois JC. Predictable single tooth peri-implant esthetics: five diagnostic keys. Compend Contin Educ Dent 2004;25:895-6
4. Tarnow D, Elian N, Fletcher P, Froum S, Magner A, Cho SC, Salama M, Salama H, Garber DA. Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. J Periodontol. 2003;74:1785-8.
5. Papadopoulos I, Pozidi G, Goussias H, Kourtis S. Transferring the emergence profile from the provisional to the final restoration. J Esthet Restor Dent 2014;26:154-61
6. Elian N, Tabourian G, Jalbout ZN et al. Accurate transfer of peri-implant soft tissue emergence profile from the provisional crown to the final prosthesis using an emergence profile cast. J Esthet Restor Dent 2007;19:306-14
7. Wittneben JG, Buser D, Belser UC, Brägger U. Peri-implant soft tissue conditioning with provisional restorations in the esthetic zone: the dynamic compression technique. Int J Periodontics Restorative Dent 2013;33:447-55.
8. Parpaiola A, Sbricoli L, Guazzo R, Bressan E, Lops D. Managing the peri-implant mucosa: a clinically reliable method for optimizing soft tissue contours and emergence profile. J Esthet Restor Dent 2013; 25:317-23.
9. Shor A, Schuler R, Goto Y. Indirect implant-supported fixed provisional restoration in the esthetic zone: fabrication technique and treatment workflow. J Esthet Restor Dent 2008;20:82-95
10. Levin BP, Wilk BL. Immediate provisionalization of immediate implants in the esthetic zone: a prospective case series evaluating implant survival, esthetics, and bone maintenance. Compend Contin Educ Dent 2013;34:352-61.
11. Azer SS. A simplified technique for creating a customized gingival emergence profile for implant- supported crowns. J Prosthodont 2010;19:497-501
12. Nelson SJ: Wheeler’s dental anatomy, physiology and occlusion.9th ed. St. Louis; Saunders Elsevier: 2009
13. Ekren O, Kurtoğlu C. Dayanak implant birleşme tipinin implant destekli sabit restorasyonların klinik başarısına etkisi konusunda bir derleme. Atatürk Üniv Diş Hek Fak Derg 2009;19:131-7.
14. Andersson B, Odman P, Lindvall AM, Lithner B.Single-tooth restorations supported by osseointegrated implants: results and experiences from a prospective study after 2 to 3 years. Int J Oral Maxillofac Implants 1995;10:702-711.
15. Lekholm U, Gunne J, Henry P, Higuchi K, Lindén U, Bergström C, van Steenberghe D. Survival of the Brånemark implant in partially edentulous jaws: a 10-year prospective multicenter study. Int J Oral Maxillofac Implants 1999;14:639-45.
16. Ekelund JA, Lindquist LW, Carlsson GE, Jemt T. Implant treatment in the edentulous mandible: a prospective study on Brånemark system implants over more than 20 years. Int J Prosthodont 2003;16:602-8.
17. Zembic A, Sailer I, Jung RE, Hämmerle CH. Randomized-controlled clinical trial of customized zirconia and titanium implant abutments for single-tooth implants in canine and posterior regions: 3-year results. Clin Oral Implants Res 2009;20:802-8.
18. Bulem Yüzügüllü, Mehmet Avcı. Esthetic Implant Abutments In Maxillary Anterior Region. ADO Journal Of Clinical Sciences 2008;2:116-22.
19. Abrahamsson I, Berglundh T, Glantz PO, Lindhe J. The mucosal attachment at different abutments. An experimental study in dogs. J Clin Periodontol 1998;25:721-7.
20. Jung RE, Sailer I, Hämmerle CH, Attin T, Schmidlin P. In vitro color changes of soft tissues caused by restorative materials. Int J Periodontics Restorative Dent 2007;27:251-7.
21. Park SE, Da Silva JD, Weber HP, Ishikawa-Nagai S. Optical phenomenon of peri-implant soft tissue. Part I. Spectrophotometric assessment of natural tooth gingiva and peri-implant mucosa. Clin Oral Implants Res 2007;18:569-574.
22. Henriksson K, Jemt T. Evaluation of custom-made Procera ceramic abutments for single implant tooth replacement: A prospective 1-year follow-up study. Int J Prosthodont 2003;16:626–630.
23. Andersson B, Taylor A, Lang BR, Scheller H, Schärer P, Sorensen JA, Tarnow D. Alumina ceramic implant abutments used for single-tooth replacement: a prospective 1- to 3-year multicenter study. Int J Prosthodont 2001;14:432-8.
24. Andersson B, Glauser R, Maglione M, Taylor A. Ceramic implant abutments for short-span FPDs: a prospective 5-year multicenter study. Int J Prosthodont 2003;16:640-6.
25. Boudrias P, Shoghikian E, Morin E, Hutnik P. Esthetic option for the implant-supported single tooth restoration - treatment sequence with a ceramic abutmant. J Can Dent Assoc 2001;67: 508-14.
26. Tan PL, Dunne JT Jr. An esthetic comparison of a metal ceramic crown and cast metal abutmant with an all-ceramic crown and zirconia abutmant: a clinical report. J Prosthet Dent 2004;91:215-8.