Akademik Veri Yönetim Sistemi
The 48th Annual EPA Congress and the 27th Scientific TPID Congress, Nevşehir, Türkiye, 11 - 13 Eylül 2025, ss.52-53, (Özet Bildiri)
INTRODUCTION: Anterior tooth loss, especially when associated with alveolar bone resorption, presents considerable challenges in both aesthetic and functional rehabilitation. Implant placement in the anterior maxilla requires precise treatment planning due to anatomical limitations and high patient expectations. In cases with ridge defects, prosthetic modifications such as restoring adjacent teeth may be necessary to achieve optimal results. CASE REPORTS: Case 1: A 48-year-old systemically healthy male presented with aesthetic dissatisfaction concerning implants placed in regions 11 and 21 after extractions five years prior. Although peri-implant bone levels were stable, moderate alveolar ridge resorption was evident. To enhance aesthetic integration, full crowns were planned for adjacent teeth 12 and 22. Diagnostic impressions and mock-up evaluations were performed, followed by tooth preparations and temporary prothesis. Zirconia-based porcelain restorations were fabricated after preparation and impression procedures.Final implant- and tooth-supported prostheses were delivered after framework tryin. At the 6-month follow-up, no complications were reported. Case 2: A 27-year-old healthy male, who had received implants in regions 11 and 21 after trauma-related tooth loss, presented with aesthetic concerns. Clinical evaluation revealed excessive gingival display of teeth 12 and 22 and significant anterior ridge resorption. Full crowns were planned for these teeth to optimize soft tissue contours. Zirconia-based porcelain restorations were fabricated after preparation and impression procedures. Definitive prostheses were successfully placed following occlusal adjustments. DISCUSSION: These cases highlight the importance of comprehensive prosthetic planning in managing anterior implant restorations, particularly when alveolar bone loss is present. Restoration of adjacent teeth with full crowns allowed for improved pink-white aesthetic balance. Zirconia ceramics offered favorable outcomes in terms of biocompatibility and translucency. Both patients achieved satisfactory functional and aesthetic results, maintained through routine follow-up. Keywords: Dental Implant, Alveolar Bone Loss, Dental Prosthesis