Transferring the Emergence Profile from the Provisional to the Final Restoration

Papadopoulos, Ioannis; Pozidi, Georgia; Goussias, Hercules; Kourtis, Stefanos

doi:10.1111/jerd.12068

Cited by 24 publications

(25 citation statements)

References 24 publications

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“…Uygun çıkış profilinin oluşturulması için geçici restorasyonların kulanımı ve oluşturulan çıkış profilinin daimi restorasyona doğru aktarılması gerekmektedir. 5 Bu olgu sunumunda periodontal problemler nedeniyle çekilen üst ön kesicilerin implant destekli köprü protezi ile rehabilitasyonu anlatılmaktadır.…”

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Esteti̇k Bölgedeki̇ İmplant Destekli̇ Sabi̇t Restorasyonlarda Di̇şeti̇ Çikiş Profi̇li̇ni̇n Oluşturulmasi: Olgu Sunumu

Atamer¹,

Özyetim²,

Ayçiçek³

et al. 2019

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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ÖZETÖn 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 bölge GİRİŞ Dental Üst çene ön bölge diş eksikliklerinin protetik tedavisi diş hekimleri için ayrıca özen gösterilmesi gereken olguların başında gelmektedir. Bu bölgede implant veya diş destekli sabit protezlerden hangisi tercih edilirse edilsin yumuşak dokuların doğal görünümü sağlanmalıdır. 1 Ön bölge implant restorasyonlarının estetik başarısında; implantın dişler, dudaklar, dişeti ve çevre dokular ile ilişkisi çok önemlidir. 2 Bu nedenle implant çevresi dokularda oluşturulmak istenen estetik görünümün öngörülebilmesi için bazı faktörlerin değerlendirilmesi ve tedavinin bu doğrultuda gerçekleştirilmesi gerekmektedir. ABSTRACTThere 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 treatment for missing teeth with implant retained prosthesis 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.Bu faktörler; gülme hattı, implant pozisyonu, periodonsiyumun formu ve biyotipi, ağızda var olan diş şekli, alveol kret pozisyonu ve çıkış profili olarak sıralanmaktadır. [2][3][4] Üst çene ön bölge implant destekli restorasyonlarda uygun yumuşak doku cevabı ve çıkış profili oluşturabilmek başlıca hedeflerdendir. Uygun çıkış profilinin oluşturulması için geçici restorasyonların kulanımı ve oluşturulan çıkış profilinin daimi restorasyona doğru aktarılması gerekmektedir. 5 Bu olgu sunumunda periodontal problemler nedeniyle çekilen üst ön kesicilerin implant destekli köprü protezi ile rehabilitasyonu anlatılmaktadır.

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Esteti̇k Bölgedeki̇ İmplant Destekli̇ Sabi̇t Restorasyonlarda Di̇şeti̇ Çikiş Profi̇li̇ni̇n Oluşturulmasi: Olgu Sunumu

Atamer¹,

Özyetim²,

Ayçiçek³

et al. 2019

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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“…The relationship between dental ceramics and the surrounding periodontal structures may nonetheless become challenging for both the clinician and lab technician. Optimal esthetic results can be achieved through careful planning, taking into account the peculiarities of each clinical case, particularly in terms of the gingival tissue, which can be a powerful compromising factor …”

mentioning

confidence: 99%

“…Gingival tissue manipulation using provisional crowns may overcome the esthetic problem during the period of provisionalization; however, transferring such details with precision and reproducibility to the laboratory technician is a much more daunting task, since the gingival tissue is highly resilient and rapidly changes upon removal of the provisional crowns. Considering that, commonly, the conditioned tissue is transferred filling up the gingival concave spaces after removal of provisional crowns with low shrinkage acrylic resin followed by the metal framework placement on the abutment teeth . Thus, the purpose of this report is to describe a novel technique to transfer the features of the conditioned soft tissue onto a master cast, based on a previously edentulous area of the maxilla.…”

mentioning

confidence: 99%

“…Optimal esthetic results can be achieved through careful planning, taking into account the peculiarities of each clinical case, particularly in terms of the gingival tissue, which can be a powerful compromising factor. [5][6][7] Irregularities of supporting tissues caused by premature loss of teeth can be difficult to overcome, since resorption of the alveolar bone following extraction may generate buccal-lingual defects, altering the shape and the space of the arch, thus compromising the final esthetic result, especially in the anterior area. 1-3 Seibert 8 proposed a classification of alveolar tissue deformities in an attempt to facilitate treatment planning:…”

mentioning

confidence: 99%

“…Considering that, commonly, the conditioned tissue is transferred filling up the gingival concave spaces after removal of provisional crowns with low shrinkage acrylic resin followed by the metal framework placement on the abutment teeth. [5][6][7]13,19,20 Thus, the purpose of this report is to describe a novel technique to transfer the features of the conditioned soft tissue onto a master cast, based on a previously edentulous area of the maxilla. Technique 1.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Transferring Conditioned Partially Edentulous Ridge Form to a Master Cast

Pereira

Ghizoni

Oliveira

et al. 2015

Journal of Prosthodontics

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Gingival conditioning techniques in prosthodontics aim to overcome bone and soft-tissue defects that often compromise the outcome of restorations in terms of esthetics, function, and biocompatibility. Whatever the technique used, it is essential to reproduce a regular concave gingival outline in order to recreate the natural aspect of the relationship between teeth and gingiva, eliminating black triangles. Transferring the details of the conditioned soft tissue to the laboratory technician with precision may be challenging. The authors hereby propose a novel technique to transfer the clinical aspect of the conditioned soft tissue to the master cast, using a customized metal framework to help ensure accuracy.

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Digital transfer of the subgingival contour and emergence profile of the provisional restoration to the final bone-anchored fixed restoration

Kurosaki

Mino

Maekawa

et al. 2019

Journal of Prosthodontic Research

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Purpose: This report was written to introduce an attempt at clinical application of our newly developed digital workflow to reproduce the morphology of the subgingival contour and the emergence profile of the provisional restoration within the final bone-anchored fixed restoration, using a bounded unilateral edentulous case. Methods: This digital workflow involves superimposition of the composite images of two specific types of working casts onto the working cast for the provisional restoration namely, a split cast screwed with a titanium base and a split cast screwed with a provisional restoration and integrating these with the whole intraoral surface image, in which the provisional restoration was present. The final restoration fabricated using this technique could be installed without any clinical problems. The results of in silico analysis revealed that the cubic volume ratio of the total discrepancy between the provisional and the final restorations was only 2.4%. Further, sufficient oral hygiene was maintained and the patient was satisfied with the outcome of the treatment. Conclusions: This technical report suggests that our newly developed digital workflow provided clinical applicability and may enable accurate transfer of the morphology of the 3 subgingival contour and emergence profile of the provisional to the final bone-anchored fixed restoration.

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Transferring the Emergence Profile from the Provisional to the Final Restoration

Cited by 24 publications

References 24 publications

Esteti̇k Bölgedeki̇ İmplant Destekli̇ Sabi̇t Restorasyonlarda Di̇şeti̇ Çikiş Profi̇li̇ni̇n Oluşturulmasi: Olgu Sunumu

Esteti̇k Bölgedeki̇ İmplant Destekli̇ Sabi̇t Restorasyonlarda Di̇şeti̇ Çikiş Profi̇li̇ni̇n Oluşturulmasi: Olgu Sunumu

Transferring Conditioned Partially Edentulous Ridge Form to a Master Cast

Digital transfer of the subgingival contour and emergence profile of the provisional restoration to the final bone-anchored fixed restoration

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