Implant-prosthetic rehabilitation of an agenesis lateral incisor: a case report and literature review
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Keywords

Agenesis
Etiology
Orthodontics
Dental implants

Abstract

Aim: The aim of this case-report is to describe the clinical results obtained through immediate-load implant rehabilitation combined with orthodontic and prosthetic therapy.

Materials and Methods: A 35-year-old woman went for an initial examination to the Department of Dentistry and Dental Prosthetics of the Vita-Salute San Raffaele Hospital, directed by Prof. E. F. Gherlone. Intra-oral examination revealed the absence of element 4.2, which was also confirmed by Orthopantomography. Therefore, in order to allow the execution of a correct aesthetic-functional rehabilitation, it was decided to perform a preliminary orthodontic therapy in order to obtain an adequate “uprighting” for the future implant insertion. Once the optimal space had been achieved, surgical therapy was carried out, involving the insertion of an implant and a subsequent prosthetic crown in stratified zirconia.

Results: Follow-up at 18 months after functional loading showed excellent healing, both radiographically and on objective examination, of the involved tissues.

Conclusion: Multidisciplinary clinical management, combined with orthodontic and then implant therapy, allowed the achievement of an optimal and lasting prognostic outcome.

 

 

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