Staged Hard and Soft Tissue Reconstruction Followed by Implant Supported Restoration in the Aesthetic Zone: A Case ReportCorrespondence Address :
Dr. Harinath Parthasarathy,
Professor, Department of Periodontics, Srm Dental College, Bharathi Salai, Rama Puram, Chennai-600089, Tamil Nadu, India.
Alveolar ridge deficiency is a common clinical consequence following tooth loss due to chronic periodontitis complicating ideal implant placement. Advanced hard and soft tissue augmentation procedures have been developed in the recent past with predictable clinical outcomes. A male patient presented with a Grade III mobile upper right central incisor associated with advanced bone loss and soft tissue deficit. Following extraction of tooth #11, socket augmentation was done using an autogenous cortico-cancellous block graft and subsequent soft tissue augmentation was done with palatal connective tissue graft. At the end of six months, a tapered self tapping implant fixture was placed with adequate primary stability and after eight weeks, second stage implant surgery was done with the Misch technique in order to recreate papillae and the implant was prosthetically restored. The alveolar ridge was adequately recontoured following the staged surgical protocol. The implant was well integrated at the end of 15 months. Execution of sequential surgical procedures in a highly deficient edentulous site made it possible to achieve of optimal pink and white aesthetics with stable implant supported fixed prosthesis.
Cortico-cancellous block graft, Guided bone regeneration, Connective tissue graft, Split finger technique
Harinath parthasarathy, lakshmi ramachandran, anupama tadepalli, Deepa ponnaiyan. STAGED HARD AND SOFT TISSUE RECONSTRUCTION FOLLOWED BY IMPLANT SUPPORTED RESTORATION IN THE AESTHETIC ZONE: A CASE REPORT. Journal of Clinical and Diagnostic Research [serial online] 2017 April [cited: 2017 May 30 ]; 11:ZD06-ZD09. Available from
Date of Submission: Nov 02, 2016
Date of Peer Review: Dec 20, 2016
Date of Acceptance: Jan 20, 2017
Date of Publishing: Apr 01, 2017
Financial OR OTHER COMPETING INTERESTS: None.
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