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Maksiller Ön Bölgede Tek Diş İmplant Destekli Kronlar: Tedavi Planlaması ve Protetik Seçenekler

Yıl 2025, Cilt: 7 Sayı: 1, 117 - 134, 28.04.2025

Özge Mine Yüceer , Bilge Turhan Bal , Seçil Karakoca Nemli , Merve Bankoğlu Güngör

https://doi.org/10.51122/neudentj.2025.147

Öz

Tek veya daha fazla diş eksikliğinin tedavisinde diş destekli yapılan kron ve köprüler, günümüzde teknolojinin ve materyallerin gelişmesi ile birlikte yerini implant destekli sabit restorasyonlara bırakmaktadır. İmplant destekli yapılan tedaviler ile komşu dişlerde madde kaybı olmaması ve dişeti sağlığının korunması gibi avantajlar sağlanmaktadır. Anterior tek diş eksikliğinde sıklıkla tercih edilen implant destekli kronların başarısının değerlendirilmesinde fonksiyon ile birlikte estetik de etkilidir. Klinik başarıyı sağlayabilmek için implant yerleştirmenin cerrahi sürecinden, implant üzerindeki protezin materyal seçimi ve tutuculuk şekline kadar tüm detayların dikkatle düşünülmesi gerekir. Bu literatür derlemesinde maksiller anterior bölgedeki diş kaybının klinik ve radyolojik değerlendirmesine dayalı olarak implant planlaması ele alınmakta ve protetik seçenekler hakkında bilgi verilmektedir.

Anahtar Kelimeler

estetik maksilla tek diş dental implant

Kaynakça

  • Chen ST, Buser D. Esthetic outcomes following immediate and early implant placement in the anterior maxilla - a systematic review. Int J Oral Maxillofac Implants. 2014;29:186-215.
  • Passos L, de Vasconcellos AB, Kanashiro L, Kina S. The natural CAD/CAM anterior implant single tooth restoration: a novel digital workflow. J Esthet Restor Dent. 2023;35:1194-204.
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  • Isola G, Polizzi A, Alibrandi A, Williams RC, Leonardi R. Independent impact of periodontitis and cardiovascular disease on elevated soluble urokinase‐type plasminogen activator receptor (suPAR) levels. J Periodontol. 2021;92:896-906.
  • Isola G, Polizzi A, Iorio-Siciliano V, Alibrandi A, Ramaglia L, Leonardi R. Effectiveness of a nutraceutical agent in the non-surgical periodontal therapy: a randomized, controlled clinical trial. Clin Oral Investig. 2021;25:1035-45.
  • Al-Quran FA, Al-Ghalayini RF, Al-Zu'bi BN. Single-tooth replacement: factors affecting different prosthetic treatment modalities. BMC Oral Health. 2011;11:1-7.
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  • Goodacre CJ, Naylor WP. Single implant and crown versus fixed partial denture: a cost-benefit, patient-centered analysis. Eur J Oral Implantol. 2016;9:59-68.
  • Albrektsson T, Donos N. Implant survival and complications. The third EAO consensus conference 2012. Clin Oral Implants Res. 2012;23:63-5.
  • Scurria MS, Bader JD, Shugars DA. Meta-analysis of fixed partial denture survival: prostheses and abutments. J Prosthet Dent. 1998;79:459-64.
  • Karl M. Outcome of bonded vs all-ceramic and metal-ceramic fixed prostheses for single tooth replacement. Eur J Oral Implantol. 2016;9:25-44.
  • Tischler M. Dental implants in the esthetic zone. Considerations for form and function. N Y State Dent J. 2004;70:22-6.
  • Tarnow DP, Chu SJ. The single-tooth implant a minimally invasive approach for anterior and posterior extraction sockets. 1st ed. Huffman, Leah: Quintessence Publishing Co Inc; 2020.
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  • Misch CE. Dental implant prosthetics. 2. edition. Elsevier Mosby; 2014.
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  • Singh V, Bhagol A, Ashwin V. Controversies in the dental implant treatment planning for anterior maxillary aesthetic zone-a review. Natl J Maxillofac Surg. 2023;14:3-8.
  • Levine RA, Ganeles J, Gonzaga L, Kan JK, Randel H, Evans CD, et al. 10 keys for successful esthetic-zone single immediate implants. Compend Contin Educ Dent. 2017;38:248-60.
  • Leblebicioglu B, Rawal S, Mariotti A. A review of the functional and esthetic requirements for dental implants. J Am Dent Assoc. 2007;138:321-9.
  • den Hartog L, Meijer HJ, Stegenga B, Tymstra N, Vissink A, Raghoebar GM. Single implants with different neck designs in the aesthetic zone: a randomized clinical trial. Clin Oral Implants Res. 2011;22:1289-97.
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Single Tooth Implant-Supported Crowns in The Maxillary Anterior Region: Treatment Planning and Prosthetic Options

Yıl 2025, Cilt: 7 Sayı: 1, 117 - 134, 28.04.2025

Özge Mine Yüceer , Bilge Turhan Bal , Seçil Karakoca Nemli , Merve Bankoğlu Güngör

https://doi.org/10.51122/neudentj.2025.147

Öz

With the advancement of technology and prosthetic materials, treating one or more missing teeth with implant-supported crowns and fixed partial dentures has become preferable. This choice is driven by factors such as the preservation of neighboring teeth, which do not require preparation, and the ease of maintaining gingival health. Success in treating single missing teeth in the anterior region must consider esthetics and function. Thus, all details should be carefully considered for ideal treatment from the surgical process of implant placement to the prosthetic process, including the material selection and the type of retention for the prosthesis on the implant. This review discusses implant planning based on the clinical and radiologic evaluation of tooth loss in the maxillary anterior region, emphasizing its impact on the prosthesis. It also covers factors to consider implant prosthetic options, such as the osseointegration of the implant.

Anahtar Kelimeler

esthetics maxilla single-tooth dental implant

Kaynakça

  • Chen ST, Buser D. Esthetic outcomes following immediate and early implant placement in the anterior maxilla - a systematic review. Int J Oral Maxillofac Implants. 2014;29:186-215.
  • Passos L, de Vasconcellos AB, Kanashiro L, Kina S. The natural CAD/CAM anterior implant single tooth restoration: a novel digital workflow. J Esthet Restor Dent. 2023;35:1194-204.
  • Afrashtehfar KI, Assery MK, Bryant SR. Aesthetic parameters and patient-perspective assessment tools for maxillary anterior single implants. Int J Dent. 2021;2021:1-9.
  • Isola G, Polizzi A, Alibrandi A, Williams RC, Leonardi R. Independent impact of periodontitis and cardiovascular disease on elevated soluble urokinase‐type plasminogen activator receptor (suPAR) levels. J Periodontol. 2021;92:896-906.
  • Isola G, Polizzi A, Iorio-Siciliano V, Alibrandi A, Ramaglia L, Leonardi R. Effectiveness of a nutraceutical agent in the non-surgical periodontal therapy: a randomized, controlled clinical trial. Clin Oral Investig. 2021;25:1035-45.
  • Al-Quran FA, Al-Ghalayini RF, Al-Zu'bi BN. Single-tooth replacement: factors affecting different prosthetic treatment modalities. BMC Oral Health. 2011;11:1-7.
  • Edelmayer M, Woletz K, Ulm C, Zechner W, Tepper G. Patient information on treatment alternatives for missing single teeth–systematic review. Eur J Oral Implantol. 2016;9:45-57.
  • Goodacre CJ, Naylor WP. Single implant and crown versus fixed partial denture: a cost-benefit, patient-centered analysis. Eur J Oral Implantol. 2016;9:59-68.
  • Albrektsson T, Donos N. Implant survival and complications. The third EAO consensus conference 2012. Clin Oral Implants Res. 2012;23:63-5.
  • Scurria MS, Bader JD, Shugars DA. Meta-analysis of fixed partial denture survival: prostheses and abutments. J Prosthet Dent. 1998;79:459-64.
  • Karl M. Outcome of bonded vs all-ceramic and metal-ceramic fixed prostheses for single tooth replacement. Eur J Oral Implantol. 2016;9:25-44.
  • Tischler M. Dental implants in the esthetic zone. Considerations for form and function. N Y State Dent J. 2004;70:22-6.
  • Tarnow DP, Chu SJ. The single-tooth implant a minimally invasive approach for anterior and posterior extraction sockets. 1st ed. Huffman, Leah: Quintessence Publishing Co Inc; 2020.
  • Hamiş AO, Ozan O, Ramoğlu S. Protetik diş hekimliğinde 3-boyutlu implant planlama ve cerrahi kılavuzlar. Acta Odontol Turc. 2016;33:55-62.
  • Misch CE. Dental implant prosthetics. 2. edition. Elsevier Mosby; 2014.
  • Palacci P. Aesthetic treatment of the anterior maxilla: soft and hard tissue considerations. Oral Maxillofac Surg Clin North Am. 2004;16:127-37.
  • Singh V, Bhagol A, Ashwin V. Controversies in the dental implant treatment planning for anterior maxillary aesthetic zone-a review. Natl J Maxillofac Surg. 2023;14:3-8.
  • Levine RA, Ganeles J, Gonzaga L, Kan JK, Randel H, Evans CD, et al. 10 keys for successful esthetic-zone single immediate implants. Compend Contin Educ Dent. 2017;38:248-60.
  • Leblebicioglu B, Rawal S, Mariotti A. A review of the functional and esthetic requirements for dental implants. J Am Dent Assoc. 2007;138:321-9.
  • den Hartog L, Meijer HJ, Stegenga B, Tymstra N, Vissink A, Raghoebar GM. Single implants with different neck designs in the aesthetic zone: a randomized clinical trial. Clin Oral Implants Res. 2011;22:1289-97.
  • Ulm C, Kneissel M, Schedle A, Solar P, Matejka M, Schneider B, et al. Characteristic features of trabecular bone in edentulous maxillae. Clin Oral Implants Res. 1999;10:459-67.
  • Cook DR, Mealey BL, Verrett RG, Mills MP, Noujeim ME, Lasho DJ, et al. Relationship between clinical periodontal biotype and labial plate thickness: an in vivo study. Int J Periodontics Restorative Dent. 2011;31:344-54.
  • Buser D, Martin W, Belser UC. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants. 2004;19:43-61.
  • Palacci P, Nowzari H. Soft tissue enhancement around dental implants. Periodontol 2000. 2008;47:113-32.
  • Lops D, Mosca D, Müller A, Rossi A, Rozza R, Romeo E. Management of peri-implant soft tissues between tooth and adjacent immediate implant placed into fresh extraction single socket: a one-year prospective study on two different types of implant-abutment connection design. Minerva Stomatol. 2011;60:403-15.
  • Miyamoto Y, Obama T. Dental cone beam computed tomography analyses of postoperative labial bone thickness in maxillary anterior implants: comparing immediate and delayed implant placement. Int J Periodontics Restorative Dent. 2011;31:215-25.
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  • Barwacz CA, Stanford CM, Diehl UA, Cooper LF, Feine J, McGuire M, et al. Pink esthetic score outcomes around three implant-abutment configurations: 3-year results. Int J Oral Maxillofac Implants. 2018;33:1126-35.
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  • Glauser R, Sailer I, Wohlwend A, Studer S, Schibli M, Schärer P. Experimental zirconia abutments for implant-supported single-tooth restorations in esthetically demanding regions: 4-year results of a prospective clinical study. Int J Prosthodont. 2004;17:285-90.
  • Passos SP, Linke B, Larjava H, French D. Performance of zirconia abutments for implant-supported single-tooth crowns in esthetic areas: a retrospective study up to 12-year follow-up. Clin Oral Implants Res. 2016;27:47-54.
  • Linkevičius T, Vaitelis J. The effect of zirconia or titanium as abutment material on soft peri-implant tissues: a systematic review and meta-analysis. Clin Oral Implants Res. 2015;26:139-47.
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  • Foong JKW, Judge RB, Palamara JE, Swain MV. Fracture resistance of titanium and zirconia abutments: an in vitro study. J Prosthet Dent. 2013;109:304-12.
  • Bidra AS, Rungruanganunt P. Clinical outcomes of implant abutments in the anterior region: a systematic review. J Esthet Restor Dent. 2013;25:159-76.
  • Laleman I, Lambert F, Gahlert M, Bacevic M, Woelfler H, Roehling S. The effect of different abutment materials on peri-implant tissues:a systematic review and meta-analysis. Clin Oral Implants Res. 2023;34 :125-42.
  • Davoudi A, Salimian K, Tabesh M, Attar BM, Golrokhian M, Bigdelou M. Relation of CAD/CAM zirconia dental implant abutments with periodontal health and final aesthetic aspects:a systematic review. J Clin Exp Dent. 2023;15:64-70.
  • Tang K, Luo M-L, Zhou W, Niu L-N, Chen J-H, Wang F. The integration of peri-implant soft tissues around zirconia abutments: Challenges and strategies. Bioactive Materials. 2023;27:348-361.
  • Grössner-Schreiber B, Herzog M, Hedderich J, Dück A, Hannig M, Griepentrog M. Focal adhesion contact formation by fibroblasts cultured on surface-modified dental implants: an in vitro study. Clin Oral Implants Res. 2006;17(6):736-745.
  • Valantijiene V, Mazeikiene A, Alkimavicius J, Linkeviciene L, Alkimaviciene E, Linkevicius T. Clinical and immunological evaluation of peri-implant tissues around ultra-polished and conventionally-polished zirconia abutments. A 1-year follow-up randomized clinical trial. Journal of Prosthodontics. 2023;32(5):392-400.
  • Filho APR, Fernandes FSF, Straioto FG, Silva WJ, Cury AA. Preload loss and bacterial penetration on different implant-abutment connection systems. Braz Dent J. 2010;21:123-9.
  • Vetromilla BM, Brondani LP, Pereira-Cenci T, Bergoli CD. Influence of different implant-abutment connection designs on the mechanical and biological behavior of single-tooth implants in the maxillary esthetic zone: a systematic review. J Prosthet Dent. 2019;121:398-403.
  • Pessoa RS, Muraru L, Júnior EM, Vaz LG, Sloten JV, Duyck J, et al. Influence of implant connection type on the biomechanical environment of immediately placed implants-CT-based nonlinear, three-dimensional finite element analysis. Clin Implant Dent Relat Res. 2010;12:219-34.
  • Ribeiro CG, Maia MLC, Scherrer SS, Cardoso AC, Wiskott HWA. Resistance of three implant-abutment interfaces to fatigue testing. J Appl Oral Sci. 2011;19:413-20.
  • Atieh MA, Tawse-Smith A, Alsabeeha NHM, Ma S, Duncan WJ. The one abutment–one time protocol: a systematic review and meta-analysis. J Periodontol. 2017;88:1173-85.
  • Degidi M, Nardi D, Piattelli A. One abutment at one time: non-removal of an immediate abutment and its effect on bone healing around subcrestal tapered implants. Clin Oral Implants Res.2011;22:1303-07.
  • Lazzara RJ, Porter SS. Platform switching: a new concept in implant dentistry for controlling postrestorative crestal bone levels. Int J Periodont Restor Dent. 2006;26:9-17.
  • Canullo L, Bignozzi I, Cocchetto R, Cristalli MP, Iannello G. Immediate positioning of a definitive abutment versus repeated abutment replacements in post-extractive implants: 3-year follow-up of a randomised multicentre clinical trial. Eur J Oral Implantol. 2010;3:285-96.
  • Grandi T, Guazzi P, Samarani R, Maghaireh H, Grandi G. One abutment-one time versus a provisional abutment in immediately loaded post-extractive single implants: a 1-year follow-up of a multicentre randomised controlled trial. Eur J Oral Implantol. 2014;7:141-9.
  • Priest G. Virtual-designed and computer-milled implant abutments. J Oral Maxillofac Surg. 2005;63:22-32.
  • Lops D, Meneghello R, Sbricoli L, Savio G, Bressan E, Stellini E. Precision of the connection between implant and standard or computer-aided design/computer-aided manufacturing abutments: a novel evaluation method. Int J Oral Maxillofac Implants. 2018;33:23-30.
  • Lops D, Parpaiola A, Paniz G, Sbricoli L, Magaz VR, Venezze AC, et al. Interproximal papilla stability around CAD/CAM and stock abutments in anterior regions: a 2-year prospective multicenter cohort study. Int J Periodontics Restorative Dent. 2017;37:657-65.
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  • Siadat H, Alikhasi M, Beyabanaki E. Interim prosthesis options for dental implants. J Prosthodont. 2017;26:331-8.
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  • Nedir R, Bischof M, Briaux JM, Beyer S, Szmukler-Moncler S, Bernard JP. A 7-year life table analysis from a prospective study on ITI implants with special emphasis on the use of short implants. Clin Oral Implants Res. 2004;15:150-7.
  • Castellon P, Casadaban M, Block MS. Techniques to facilitate provisionalization of implant restorations. J Oral Maxillofac Surg. 2005;63:72-9.
  • Lewis M, Klineberg I. Prosthodontic considerations designed to optimize outcomes for single-tooth implants- a review of the literature. Aust Dent J. 2011;56:181-92.
  • Deliberador TM, Begnini GJ, Tomazinho F, Rezende CEE, Florez FLE, Leonardi DP. Immediate implant placement and provisionalization using the patient’s extracted crown: 12-month follow-up. Compend Contin Educ Dent. 2018;39:e18-e21.
  • Di Giacomo GdAP, Magalhães A, Ajzen S. Immediate esthetic crown with a facet of the extracted element. Eur J Dent. 2014;8:412-5.
  • Passos L, de Vasconcellos AB, Kanashiro L, Kina S. The natural CAD/CAM anterior implant single tooth restoration: a novel digital workflow. J Esthet Restor Dent. 2023;35:1194-204.
  • Hsu ML, Chen FC, Kao HC, Cheng K. Influence of off-axis loading of an anterior maxillary implant: a 3-dimensional finite element analysis. Int J Oral Maxillofac Implants. 2007;22:301-9.
Toplam 98 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Protez
Bölüm OLGU SUNUMU
Yazarlar

Özge Mine Yüceer 0009-0005-2039-1218

Bilge Turhan Bal 0000-0001-7825-712X

Seçil Karakoca Nemli 0000-0001-8836-0673

Merve Bankoğlu Güngör 0000-0002-4002-6390

Yayımlanma Tarihi 28 Nisan 2025
Gönderilme Tarihi 4 Haziran 2024
Kabul Tarihi 21 Ekim 2024
Yayımlandığı Sayı Yıl 2025 Cilt: 7 Sayı: 1

Kaynak Göster

Vancouver Yüceer ÖM, Turhan Bal B, Karakoca Nemli S, Bankoğlu Güngör M. Single Tooth Implant-Supported Crowns in The Maxillary Anterior Region: Treatment Planning and Prosthetic Options. NEU Dent J. 2025;7(1):117-34.
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