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After nine postoperative months, the patient had a better gingival alignment and reported esthetic and functional satisfaction. Discussion After assessing the positioning of implants, it is important to select prosthetic components that are suitable to each clinical case, as they will guarantee clinical success for long time periods.
Conclusion The multidisciplinary approach, combining prosthetic and periodontal procedures, proved to be efficient, improving esthetic outcomes.
Keywords: Dental implants, Cement-retained prosthesis, Dental esthetics, Implant-supported denture, Case report 1.
Introduction Nowadays, satisfactory esthetic outcomes have become a burgeoning demand at dental offices. Owing to the major breakthroughs in techniques and materials at hand, patients have been overly demanding in terms of esthetics, presenting dental surgeons with a great challenge.
When dental implants are placed in esthetic zones, some important determining factors for a successful outcome should be taken into account, such as positioning of implants, positioning of soft tissues, dental esthetics, and biomechanics of the dental prosthesis [ 1 , 2 ].
Prosthetic planning prior to implant placement is of utmost importance as it will determine the position in which the implant has to be placed.
If only the amount of bone tissue in the recipient zone is taken into consideration, without prosthetic planning, the implant could be mispositioned and the prosthesis misangulated, compromising esthetics and the function of the final prosthetic crown [ 1 ]. Edentulous posterior maxillary form a bone type IV4,5. Selected material for region presents single conditions in surgery sinus grafting is in paramount importance for with poor bone quantity, what become one of the success of prognosis of graft used.
The the higher challenges when compared with ideal material should be osteogenic to other maxillary regions1.
Maxillary sinus, in stimulate alive osteoblasts to form a new bone, most cases pneumatized and associated to low osteoconductive, be used as an outline for bone density in this region, result from loss of vases invasions from the neighbor bone, teeth, makes disappear the stimulus which besides osteoinductive to stimulate pluripotent maintain the alveolar bone, occurring the bone mesenchymal cells to differentiate themselves tissue degeneration, what provides an from osteoblasts6.
The autogenous bone is the inappropriate Aield to install osseointegrated only one that possesses the three proprieties. In adults, it is as sinus Ailler material of maxillary sinus lifting similar to a pyramid in four thin bony walls, technique compared with preoperative bone whose base is localized on the lateral nasal edge. For measurement, a To perform this research, 35 patients line was traced from the initial point on the were screened, and as inclusion criterion were crest of the alveolar ridge, and as a Ainal point, selected to participate in this study those the maxillary sinus Aloor; this distance patients who presented posterior maxillary corresponded to the height of the alveolar bone tissue that made impossible the ridge.
As exclusion criteria was used spreadsheet, numbered according to the smoking patients, chronic sinusitis patients, patients after the statistical analysis with the systemic diseases patients, cardiac, diabetes, Student t test. The bone quantity formed in radiographs.
The The height difference between the patients were not identiAied to maintain total initial and Ainal edges was statistically conAidence and the radiographs were cataloged signiAicant Figure 2. The analysis postoperative interventions after the grafting were carried out on 10 panoramic radiographs procedure.
The medium alveolar increase measured previously the surgery and other 10 obtained was They were Table I. F igu re 2.
Comp ari son of ini tia l and A ina l ed ges in m il lim ete rs af ter su rge ry. Cl ini cal ca ses wi th m easu re o f ini tia l ed ges be for e and af ter th e g raf tin g, in mi ll ime ter s, of inc rea sed pe rcen tag e. Po stop era tiv e r adio graph af ter gr aft ing su rge ry. F igu re 3.
Pr e op era tiv e r adio graph be for e g raf tin g su rge ry. Syn the tic hyd roxy apa ti tes ar e m ark eted in r eso rbab le and non re sorb abl e fo rms. Th e m ix p roce ssing of ba sic ca lcium pho spha te d ete rmin es th ese prop ert ies. By the use of the method proposed meters.
It is slowly absorbed by the body, we achieved a medium increase of However, more studies hatchway for bone substitution7. This 1. Innovantions J ofAice, many times only with local anesthetic, ;4: Osteogen as graft, possessed an initial edge of 3.
Fugazzotto VJ. LongUterm sucess if sinus 0. Int J Oral MaxillofacImplants ; It also specifies where the XML sitemap file is located. You can check for errors in your robots. This also allows you to test individual pages to make sure that Googlebot has the appropriate access. A URL must be easy to read and remember for users. Search engines need URLs to be clean and include your page's most important keywords. Clean URLs are also useful when shared on social media as they explain the page's content.
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