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International Journal of Esthetic Dentistry  (English Edition)



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Int J Esthet Dent 9 (2014), No. 1     14. Feb. 2014
Int J Esthet Dent 9 (2014), No. 1  (14.02.2014)

Page 40-53, PubMed:24757698

Mucogingival therapy to treat implant fenestration in the esthetic zone: a case report after 2 year follow up
Dominguez, Encarna / Vazquez, Margarita / González-Martín, Oscar / Alandez, Javier
Soft tissue fenestration in implants is considered not only as a situation that could negatively influence the long-term stability of the implant, but also creates an esthetic problem when it occurs in the visible area of the mouth. This article describes the resolution of a case that presented a vestibular fenestration of an osseointegrated implant placed to substitute the upper right incisor, which does not respect the recommendations of ideal three-dimensional position in a young patient with a high smile line. The case was treated using two mucogingival surgical techniques to avoid a more invasive approach. A prosthetic immediate final abutment was inserted in the day of the second surgery. The fenestration was successfully covered and 2 years later it remains stable. In this article, the details about the treatment are described.