One-piece cast frameworks associated with a passive fitting technique and milled Co-Cr frameworks presented smaller microgaps than the other fabrication methods and materials that were tested.
As dentistry has evolved, the search for good esthetics has become increasingly frequent. Professionals must be constantly up-to-date regarding the latest advances. When a tooth is lost, there are several possible rehabilitation techniques. Adequate contour of the bone and gingiva is an essential factor if good esthetic results are to be achieved. In order to maintain the contour, techniques for immediate placement of implants, bone and gum grafting techniques and care in the correct establishment of the ideal position of the implant have been advocated. Sometimes dentists have to treat a patient whose implants have already been installed and are osseointegrated. This report was carried out in order to highlight the importance of understanding the information that is available to obtain appropriate gingival contours in such clinical conditions. A review of the literature was carried out on methods for obtaining gingival papilla and esthetics in the anterior maxilla, and on methods to construct a prosthesis for the clinical case described. The analysis of the outcome and of the degree of patient satisfaction suggests that the resources described can be successfully applied.
AIM: The objective of this study was to report a clinical case highlighting the main recommendations of the literature to minimize forces applied on implants. MATERIAL AND METHODS: A decision was made to increase the number and size of implants installed. Screwed and cemented prostheses were used, combined with an occlusal bruxism night guard. RESULTS: Four months after the prosthesis installation, no biological or biomechanical complications were encountered. CONCLUSION: There are cases of patients with parafunctional habit who require oral rehabilitation with implants. There are guidelines that enable planning and rehabilitation. It is important to monitor cases to assess the behavior of implants and their suprastructures.
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