ABUTMENT ALTERNATIVE IN THE ESTHETIC ZONE
BOUCHAN CAMACHO TANNYA MONSERRAT DDS. ALBA LORENA CAÑETAS YERBES DDS.
UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO
INTRODUCTION:Aesthetics is a primary factor in the absence of maxillary incisors, which is a complex and delicate challenge. In patients in whom there is absence of these the psychological trauma can be important reason why the desire to restore as fast as possible can lead to an accelerated therapy.
There are treatments in particular where the different prosthetic abutments are indicated for the management of soft tissues must be correctly selected for the sole purpose of achieving a biological and functional balance of harmony with the surrounding tissues and facial component.
METHODS:A 45-year-old female patient comes to the rehabilitation of implants previously placed in the anterior superior area; to the clinical examination seen a Straumman®
implants SLA Active BL (4.1mm) on teeth 11 and SLA Active TE (3.3.mm) on teeth 22.
The prosthetic attachments indicated in the case were selected to perform fixed prosthesis on implants.
RESULTS: The integral planning of this treatment was of vital importance and the consequences are presented in the same area of rehabilitation, which are mostly irreversible and have an important impact on the aesthetic result.
The platform of the SLA Active TE implant (3.3.mm) in the O.D. 21, hampered and limited the manipulation of soft tissues by their height, with a level of gingival margin.
In this case, in particular, the aesthetic factors are compromised to manipulate the tissues correctly in the edentulous area and in the soft tissue conformation around the implants, so it was necessary to used several abutments to personalized the final restoration.
CONCLUSIONS: A restoration on the implant that provides a natural aesthetic not only of the good placement of the implant but of the rehabilitation with the use of attachments that does not allow to create a gingival architecture that satisfies the expectations of the patient.