Multidisciplinary Management of a Missing Maxillary Central Incisor: a Case Report

Introduction: Prosthetic implant rehabilitation of single missing maxillary incisors constitutes a clinical challenge in esthetic dentistry. Thus, multiple clinical parameters should be considered, such as bone volume, periodontal tissues quality, esthetic outcome of definitive crown, and most importantly patient satisfaction. This poster describes the case of a multidisciplinary management of a missing 11, in a context of insufficient bone/gingival volumes. Case Report: A healthy 42-year-old Caucasian female consulted for implant-supported rehabilitation of a missing 11. Clinical and radiographic examination revealed the need for bone augmentation prior to implant placement. A ramus bone graft was harvested and placed in the buccal region of 11. Four months later, the implant was successfully placed. After a 3-month healing period, a provisional abutment and resin crown were placed, and a connective tissue graft was carried out at the same time in order to enhance the peri-implant mucosal contour. Afterwards, the contact surfaces were modified as well as the mesial surface of the 21 using an esthetic composite. Six months later, satisfactory gingival contour maturation could be noticed. The final ceramic crown was delivered, and the occlusion was checked. Conclusion: The patient showed full esthetic and functional satisfaction. She was enrolled in a periodontal/implant supportive therapy program. Discussion: In this case report, a multidisciplinary approach combined techniques from oral surgery, periodontology, implantology and prosthetics in order to esthetically and functionally rehabilitate a single maxillary incisor. Mastering all these competences or team work is necessary in order to succeed in the treatment of such complex clinical situations. Keywords: grapht, incisor, implant, esthetic