Biomaterial Database

Rehabilitation of an extensive anterior explantation defect--a case report. 2011

Sebastian D Horvath, and Ralf J Kohal

Department of Prosthodonctics, School of Dental, Albert-Ludwigs University, Freiberg, Germany. sebastian.horvarth@uniklinik-freiburg.de

This article illustrates the surgical and prosthetic rehabilitation of an extensive defect in the area of a mandibular lateral incisor following explantation of a dental implant. Bone and soft tissue defects existed after removal of the implant. Guided bone regeneration, a subepithelial connective tissue graft, and gradual pontic contouring were used to attempt correction of the defect. The missing tooth was replaced by a single-retainer, all-ceramic, resin-bonded fixed partial denture. The gingival contours were reestablished, but without complete regeneration of the interdental papillae. This article describes the use of several regenerative techniques in the treatment of dental defects and underscores the difficulty of complete correction of papilla deficiencies.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008336	Mandibular Diseases	Diseases involving the MANDIBLE.	Disease, Mandibular,Diseases, Mandibular,Mandibular Disease
D008567	Membranes, Artificial	Artificially produced membranes, such as semipermeable membranes used in artificial kidney dialysis (RENAL DIALYSIS), monomolecular and bimolecular membranes used as models to simulate biological CELL MEMBRANES. These membranes are also used in the process of GUIDED TISSUE REGENERATION.	Artificial Membranes,Artificial Membrane,Membrane, Artificial
D001861	Bone Regeneration	Renewal or repair of lost bone tissue. It excludes BONY CALLUS formed after BONE FRACTURES but not yet replaced by hard bone.	Osteoconduction,Bone Regenerations,Regeneration, Bone,Regenerations, Bone
D003238	Connective Tissue	Tissue that supports and binds other tissues. It consists of CONNECTIVE TISSUE CELLS embedded in a large amount of EXTRACELLULAR MATRIX.	Connective Tissues,Tissue, Connective,Tissues, Connective
D003776	Dental Porcelain	A type of porcelain used in dental restorations, either jacket crowns or inlays, artificial teeth, or metal-ceramic crowns. It is essentially a mixture of particles of feldspar and quartz, the feldspar melting first and providing a glass matrix for the quartz. Dental porcelain is produced by mixing ceramic powder (a mixture of quartz, kaolin, pigments, opacifiers, a suitable flux, and other substances) with distilled water. (From Jablonski's Dictionary of Dentistry, 1992)	Porcelain,Porcelain, Dental,Dental Porcelains,Porcelains,Porcelains, Dental
D003779	Denture Design	The plan, delineation, and location of actual structural elements of dentures. The design can relate to retainers, stress-breakers, occlusal rests, flanges, framework, lingual or palatal bars, reciprocal arms, etc.	Denture Designs,Design, Denture,Designs, Denture
D004955	Esthetics, Dental	Skills, techniques, standards, and principles used to improve the art and symmetry of the teeth and face to improve the appearance as well as the function of the teeth, mouth, and face. (From Boucher's Clinical Dental Terminology, 4th ed, p108)	Cosmetic Dentistry,Aesthetics, Dental,Dental Esthetic,Dental Esthetics,Esthetic, Dental,Cosmetic Dentistries,Dentistries, Cosmetic,Dentistry, Cosmetic
D005881	Gingiva	Oral tissue surrounding and attached to TEETH.	Gums,Interdental Papilla,Papilla, Interdental,Gum
D005893	Gingivoplasty	Surgical reshaping of the gingivae and papillae for correction of deformities (particularly enlargements) and to provide the gingivae with a normal and functional form, the incision creating an external bevel. (Dorland, 28th ed)	Gingivoplasties