Resources to achieve esthetics in anterior teeth

Abstract

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.

Guided bone regeneration in the anterior maxilla after tooth extraction and implant removal with sticky bone and L-PRF membrane in two surgical approaches

“…In addition to the good aesthetic-functional relationship of single implants in the anterior region of the maxilla, for a clinical case to be successful, it must also provide good comfort and hygiene conditions (Souza et al, 2015). The patient's satisfaction with appearance and chewing can, finally, affirm that the proposed surgical-prosthetic treatment was effective and successful, as observed by other authors in the use of L-PRF during GBR (Ponte, 2020;Moraes Júnior & Carvalho, 2020;Mattos et al, 2016).…”

“…The harmony of the smile in the anterior region of the edentulous maxilla or with an indication for dental extraction challenges the dentist, who seeks the integrity of the support structures for the satisfactory placement of osseointegrated implants and dental prostheses on the implants (Souza et al, 2015). Gingival and bone contours are essential for good esthetics, using surgical techniques for bone and/or gingival filling and implant placement which include: greater vertical apical positioning, distance ≥ 3 mm to another implant or adjacent tooth, adaptation to 2 mm of the cement-enamel junction of the adjacent tooth and fixation in bone dimension to ensure the primary stability of the implant (Tomm & Mezzomo, 2017;Souza et al, 2015).…”