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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

July/August 2011
Volume 42 , Issue 7

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Rehabilitation Of An Extensive Anterior Explantation Defect—A Case Report

Sebastian D. Horvath, Dr Med Dent/Ralf J. Kohal, Dr Med Dent

Pages: 539–545
PMID: 21716981

This article illustrates the surgical and prosthetic rehabilitation of an extensive defect in the area of a mandibular lateral incisor following explantation of a dental implant. Bone and soft tissue defects existed after removal of the implant. Guided bone regeneration, a subepithelial connective tissue graft, and gradual pontic contouring were used to attempt correction of the defect. The missing tooth was replaced by a single-retainer, all-ceramic, resin-bonded fixed partial denture. The gingival contours were reestablished, but without complete regeneration of the interdental papillae. This article describes the use of several regenerative techniques in the treatment of dental defects and underscores the difficulty of complete correction of papilla deficiencies. (Quintessence Int 2011;42:539–545)

Key words: all-ceramic resin-bonded fixed partial denture, esthetic zone, explantation implant loss, hard tissue defect, pontic contouring, soft tissue defect

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