Introduction
The rehabilitation of a maxillary single dental implant represents a great challenge at clinical practice. Harmony among the implant‐supported crown and adjacent teeth is required in which concerns pink and white esthetics. The aim of the present case report is to depict a multidisciplinary treatment in which the U‐shape flap technique for papillae preservation at second stage surgery was used.
Case Presentation
One female patient presenting an un‐rehabilitated dental implant at the left central incisor position sought treatment at the Centre of Education and Research on Dental Implants (CEPID). Alterations of color, shape, and position were observed on the anterior maxillary teeth. For proper treatment planning, radiograph, wax‐up, and mock‐up were performed. Second stage surgery was performed by the U‐shape flap technique. A trunnion abutment was installed at the implant and a provisional subcontoured cemented crown was manufactured. Dental bleaching, feldspathic veneers, and a ceramic crown were performed. Oral hygiene instructions were recommended. Follow‐up appointments were set at 1.5 and 3 years after restoration placement. After 3‐year follow‐up, soft tissue stability and health were preserved and papillae coronal migration around the single dental implant was observed. A complication‐free treatment was reached, and patient demonstrated satisfaction towards esthetic and function.
Conclusions
The use of U‐shape technique at second stage surgery associated to adequate prosthetic contour improved soft tissue esthetic outcomes, while the multidisciplinary treatment planning provided adequate solutions, refining harmony between dental and implant‐supported components.
To identify the main incidental findings (IFs) in the head and neck region using Cone-Beam Computed Tomography (CBCT) and the impact on patient’s live. The study was carried out using an integrative review method, starting with a guiding question followed by searches in the databases Pubmed, Scopus, Virtual Health Library and Dentistry & Oral Sciences Source for articles from 2009 until 2019. Forty-one articles became the object of this work. The incidental findings most reported by the articles are present in the bone and TMJ regions, with 35 different AIs being found. However, they are also common in the airways, such as mucosal thickening and retention mucosal cysts. Among the dental, the most pointed are impacted and supernumerary teeth. In the group of soft tissue calcifications, tonsillolite and calcification of the hyoid-style process are the most frequent. Atheroma and malignant lesions are less prevalent, but important due to the impact on patient’s life. The main incident findings are bone / TMJ, followed by dental, soft tissue calcifications, airways and other findings. Most of them do not affect patient’s life. However, some IFs require immediate interventions and are generally associated with elderly patients. Finally, more than half of the studies pointed out that the incidental findings are located in an extragnatic region.
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