Hard and Soft Tissue Management of a Localized Alveolar Ridge Atrophy with Autogenous Sources and Biomaterials: A Challenging Clinical Case

C. Maiorana, D. Andreoni, P. P. Poli

Research output: Contribution to journalArticle

Abstract

Particularly in the premaxillary area, the stability of hard and soft tissues plays a pivotal role in the success of the rehabilitation from both a functional and aesthetic aspect. The present case report describes the clinical management of a localized alveolar ridge atrophy in the area of the upper right canine associated with a thin gingival biotype with a lack of keratinized tissue. An autogenous bone block harvested from the chin associated with heterologous bone particles was used to replace the missing bone, allowing for a prosthetic driven implant placement. Soft tissues deficiency was corrected by means of a combined epithelialized and subepithelial connective tissue graft. The 3-year clinical and radiological follow-up demonstrated symmetric gingival levels of the upper canines, with physiological peri-implant probing depths and bone loss. Thus, the use of autogenous tissues combined with biomaterials might be considered a reliable technique in case of highly aesthetic demanding cases.

Original languageEnglish
Article number8468763
JournalCase Reports in Dentistry
Volume2016
DOIs
Publication statusPublished - 2016

Fingerprint

Alveolar Process
Biocompatible Materials
Atrophy
Bone and Bones
Esthetics
Canidae
Chin
Connective Tissue
Rehabilitation
Transplants

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

@article{297cf9b82f474151b7218e60f219f1d6,
title = "Hard and Soft Tissue Management of a Localized Alveolar Ridge Atrophy with Autogenous Sources and Biomaterials: A Challenging Clinical Case",
abstract = "Particularly in the premaxillary area, the stability of hard and soft tissues plays a pivotal role in the success of the rehabilitation from both a functional and aesthetic aspect. The present case report describes the clinical management of a localized alveolar ridge atrophy in the area of the upper right canine associated with a thin gingival biotype with a lack of keratinized tissue. An autogenous bone block harvested from the chin associated with heterologous bone particles was used to replace the missing bone, allowing for a prosthetic driven implant placement. Soft tissues deficiency was corrected by means of a combined epithelialized and subepithelial connective tissue graft. The 3-year clinical and radiological follow-up demonstrated symmetric gingival levels of the upper canines, with physiological peri-implant probing depths and bone loss. Thus, the use of autogenous tissues combined with biomaterials might be considered a reliable technique in case of highly aesthetic demanding cases.",
author = "C. Maiorana and D. Andreoni and Poli, {P. P.}",
year = "2016",
doi = "10.1155/2016/8468763",
language = "English",
volume = "2016",
journal = "Case Reports in Dentistry",
issn = "2090-6447",
publisher = "Hindawi Publishing Corporation",

}

TY - JOUR

T1 - Hard and Soft Tissue Management of a Localized Alveolar Ridge Atrophy with Autogenous Sources and Biomaterials

T2 - A Challenging Clinical Case

AU - Maiorana, C.

AU - Andreoni, D.

AU - Poli, P. P.

PY - 2016

Y1 - 2016

N2 - Particularly in the premaxillary area, the stability of hard and soft tissues plays a pivotal role in the success of the rehabilitation from both a functional and aesthetic aspect. The present case report describes the clinical management of a localized alveolar ridge atrophy in the area of the upper right canine associated with a thin gingival biotype with a lack of keratinized tissue. An autogenous bone block harvested from the chin associated with heterologous bone particles was used to replace the missing bone, allowing for a prosthetic driven implant placement. Soft tissues deficiency was corrected by means of a combined epithelialized and subepithelial connective tissue graft. The 3-year clinical and radiological follow-up demonstrated symmetric gingival levels of the upper canines, with physiological peri-implant probing depths and bone loss. Thus, the use of autogenous tissues combined with biomaterials might be considered a reliable technique in case of highly aesthetic demanding cases.

AB - Particularly in the premaxillary area, the stability of hard and soft tissues plays a pivotal role in the success of the rehabilitation from both a functional and aesthetic aspect. The present case report describes the clinical management of a localized alveolar ridge atrophy in the area of the upper right canine associated with a thin gingival biotype with a lack of keratinized tissue. An autogenous bone block harvested from the chin associated with heterologous bone particles was used to replace the missing bone, allowing for a prosthetic driven implant placement. Soft tissues deficiency was corrected by means of a combined epithelialized and subepithelial connective tissue graft. The 3-year clinical and radiological follow-up demonstrated symmetric gingival levels of the upper canines, with physiological peri-implant probing depths and bone loss. Thus, the use of autogenous tissues combined with biomaterials might be considered a reliable technique in case of highly aesthetic demanding cases.

UR - http://www.scopus.com/inward/record.url?scp=84990927970&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84990927970&partnerID=8YFLogxK

U2 - 10.1155/2016/8468763

DO - 10.1155/2016/8468763

M3 - Article

AN - SCOPUS:84990927970

VL - 2016

JO - Case Reports in Dentistry

JF - Case Reports in Dentistry

SN - 2090-6447

M1 - 8468763

ER -