Amaç: Periodontal sebeplerle sağ üst lateral dişini kaybeden 45 yaşındaki bayan hasta ile konjenital lateral diş eksikliği bulunan 19 yaşındaki erkek ve bayan 2 hastanın ortodontik tedavi sonrası implant üstü sabit protezler ile gerçekleştirilen estetik rehabilitasyonlarının sunulması amaçlanmıştır. Gereç ve Yöntemler: Sağ üst lateral eksikliği bulunan 45 ve 19 yaşındaki bayan hastalara implant uygulanmasının ardından ölçüleri alınarak vidalı kompozit kuronlar elde edilmiş ve immediat olarak yüklenmiştir. 4 aylık iyileşme sürecinin ardından Hind’s tekniği ile daimi ölçüler elde edilmiş ve titanyum altyapılı zirkonyum hibrit abutment ve zirkonyum altyapılı porselen kuronlar ile tedavileri gerçekleştirilmiştir. Konjenital lateral eksikliği bulunan 19 yaşındaki erkek hastada ise immediat yükleme yapılamamış ve 3 aylık iyileşme sürecinin ardından uygulanan zirkonyum altyapılı porselen kuronlar ile estetik rehabilitasyonu tamamlanmıştır. Sonuç: İmmediat implantasyon ve geçici restorasyon kullanımı sayesinde anterior bölgede diş eksikliği bulunan 3 hastada uygun çıkış profili elde edilerek doğal yumuşak doku estetiği sağlanmıştır. Erkek hastamızın 1 yıllık ve bayan hastalarımızın 3 aylık kontrollerinde herhangi bir komplikasyona rastlanmamıştır. Anahtar kelimeler: yumuşak doku estetiği, hibrit abutment, implant, immediat yükleme, geçici kron SOFT TISSUE ESTHETICS ON IMPLANT-SUPPORTED PROSTHESIS IN ANTERIOR REGION: 3 CASE REPORTS ABSTRACT Objective: To report cases of esthetic rehabilitations of a 45-year old female patient with loss of right maxillary lateral incisor due to periodontal disease and 19-year old male and female patients with congenitally missing maxillary lateral, carried out with implant-supported prosthesis after the orthodontic treatment. Material and Methods: After implant applications of female patients with missing maxillary lateral, the impressions were taken and screw-retained composite crowns were loaded immediatly. After 4 months of healing period, permanent impressions were taken with Hind's technique and the treatment was carried out with titanium-based zirconium hybrid abutment and zirconium crowns. Immediat loading could not be applied to 19 year-old male patient with congenitally missing lateral incisors, so the esthetic rehabilitation was carried out with zirconium crowns after 3 months of healing period. Conclusion: Due to the immediate implantation and the use of the provisional restorations natural soft tissue esthetics were obtained by the appropriate emergence profile. In 1 year follow-up of male patient and 3-month follow-up of female patients, no complications were observed. Keywords: soft tissue esthetic, hybrid abutment, implant, immediate loading, provisional crown
Purpose: The 45-year-old female patient who has lost the right top lateral tooth for periodontal reasons with congenital lateral tooth deficiency, the 19-year-old male and female 2 patients with orthodontic treatment are intended to provide aesthetic rehabilitation performed with fixed implant proteases. Tools and Methods: 45 and 19 years old female patients with upper right side deficiency after implanting the measurements were obtained and instantly charged with the folded composite curons. After a 4-month healing process, permanent measurements were obtained with the Hind's technique and therapies were carried out with titanium-based zirconium hybrid abutment and zirconium-based porselen curons. In the 19-year-old male patient with congenital lateral deficiency, the immediate charge was not carried out and the aesthetic rehabilitation was completed with zirkonium-based porselen curons applied after a 3-month healing process. The result: thanks to Immediate implantation and temporary restoration use; 3 patients with dental deficiency in the front area obtained the appropriate output profile and natural soft tissue aesthetics was provided. There were no complications in our male patient’s 1 year and female patient’s 3 months checkings. Keywords: soft tissue aesthetics, hybrid abutment, implant, immediate load, temporary crown SOFT TISSUE ESTHETICS ON IMPLANT-SUPPORTED PROSTHESIS IN ANTERIOR REGION: 3 CASE REPORTS ABSTRACT Objective: To report cases of a 45-year-old female patient with loss of right maxillary lateral incisor due to periodontal disease and 19-year-old male and female patients with congenitally missing maxillary lateral, carried out with implant-supported prosthesis after the orthodontic treatment. Material and Methods: After implant applications of female patients with missing maxillary lateral, the impressions were taken and screw-retined composite crowns were loaded immediately. After 4 months of healing period, permanent impressions were taken with Hind's technique and the treatment was carried out with titanium-based zirconium hybrid abutment and zirconium crowns. Immediate loading could not be applied to 19 year-old male patient with congenitally missing lateral incisors, so the aesthetic rehabilitation was carried out with zirconium crowns after 3 months of healing period. Conclusion: Due to the immediate implantation and the use of the provisional restorations; natural soft tissue esthetics were obtained by the appropriate emergence profile. In 1 year follow-up of male patients and 3 months follow-up of female patients, no complications were observed. Keywords: soft tissue esthetic, hybrid abutment, implant, immediate loading, provisional crown
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