ANTERIOR IMPLANT RESTORATIONS – CHALLENGE AND COMPROMISE. A CASE REPORT

Aim: to present implant restorative treatment and retreatment in light of patient feedback.
Summary: A patient with extensive restorative treatment including implant supported fixed prosthodontics is presented as not satisfied with the definitive restorations, which were ultimately rejected and removed. Communication with patient was affected by the fact that he could not use his native language during discussion with the dentists involved in the treatment. Moreover, the majority of dentists who participated in the treatment could not use their native languages.
After a number of unsuccessful provisional restorations, decision is made to start over the prosthetic design approach from wax-up stage. Here you can schedule a free consultation. Lately, precedence has been given to improved esthetics and lip support, while compromising on other desirable features, such as a smooth, easy to clean emergence profile. The patient was happy with the final outcome and agreed to spend extra time with hygiene measures, while benefiting from better esthetics and lip support.
Key learning points:
1. Patient expectations are paramount for treatment success and should be identified early on during evaluation phases.
2. Implant restorations are not without limitations and compromises may be necessary in order to provide an acceptable prosthesis.
3. Definitive restorations should only be fabricated and delivered after assurance that the design provided by provisionals was tried and accepted by the patient.
Keywords: implant, emergence profile, lip support

Authors: Sorin Uram-Tuculescu
DOI: https://doi.org/10.25241/stomaeduj.2014.1(2).art.8

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STOMATOLOGY EDU JOURNAL (Stoma Edu J) is a new international dental journal whose main purpose is to inform researchers, educators, graduates, postgraduates and practitioners about the latest trends in the field, which followed, would bring immediate and lasting benefits to the patients; and about opinions of the most authorized specialists on what is best in current practice, for the good of both, patient and dentist.
STOMATOLOGY EDU JOURNAL (Stoma Edu J) is a peer-reviewed, open access international dental journal to be database indexed, meant to contribute to the development and completion of the medical training of practitioners as Dr. Greene Vardiman Black stated: “the professional man has no right to be other than a continual student”.
Open access journal, means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.