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85 th Annual meeting of The American Prosthodontic Society.

CASE REPORT. 85 th Annual meeting of The American Prosthodontic Society. February 21 -22,2013 Swissôtel Chicago ILL., USA NATIONAL UNIVERSITY OF MEXICO – UNAM Department of Graduate Prosthodontics, Post-graduate and Research Division, Dental School,

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85 th Annual meeting of The American Prosthodontic Society.

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  1. CASE REPORT 85th Annual meeting of The American Prosthodontic Society. February 21 -22,2013 Swissôtel Chicago ILL., USA NATIONAL UNIVERSITY OF MEXICO – UNAM Department of Graduate Prosthodontics, Post-graduate and Research Division, Dental School, Del Valle Lovato, J.P. DDS, Ozawa Meida, José Luis DDS, MDSc, Prof. Severe ridge deficiency in the aesthetic zone – a Prosthodontic challenge. A Case report A 27 year-old, female patient, with severe ridge deficiency in the aesthethic zone due to trauma. Four dental implantswere placed in tooth 5, 6, (4.3ØX 11.5) and 8, 9 (3.5Ø X 11.5) afterguidedboneregenerationsurgery. A screw-retainedimplant-supported PFM fixedprostheseswithpinkporcelainwasmade. The gingival porcelainwasusedtocompensatethesofttissuedeficiency and improvethetoothproportion. TREATMENT ABSTRACT Reconstruction of alveolar ridge deficiencies requires bone augmentation before implant placement. This clinical case describes the prosthodontic rehabilitation of a severe ridge deficiency after limited BMP-2 guided bone regeneration. The challenge to achieve the pink and white aesthetics in a severely traumatized ridge was accomplished with an implant -supported fixed prostheses using gingival porcelain. This case was resolved with a correct handling of the restorative materials. Before Metal framework (Ag-Pd alloy) Diagnosticwax up After Occlusalview. Anterior guidanceadjustments. Radiographicfitverification CONCLUSION Frontal view. Final IS FPD The use of pink porcelain in partially dentate cases requires excellent communication with the dental ceramist but it is time consuming and is a complex technique. The only use of gingival ceramics without the aid of gingival colored resin is a highly predictable technique for the reconstruction of severe ridge defects in the aesthetic zone. But this technique demands more maintenance and hygiene commitment from the patient. Reference. Nuray Capa. Analternativetreatmentapproachto gingival recession: gingiva-coloredpartialporcelainveneers: A clinicalreport. J ProsthetDent 2007;98:82-84. Savvaskamalakidis. Nonsurgicalmanagement of softtissuedificienciesfor anterior single implant-supportedrestorations: A clinicalreport. J ProsthetDent 2007;97:1-5. CoachmanC. Prosthetic gingival reconstruction in fixedpartialrestorations. Part 1: introductionto artificial gingiva as analternativetheraphy. Int J PeriodonticsRestorativeDent. 2009 Oct;29(5):471-7. And part two and three. Salama M. Prosthetic gingival reconstruction in the fixed partial restoration. Part 2: diagnosis and treatment planning. Int J Periodontics Restorative Dent. 2009 Dec;29(6):573-81 Coachman. Prosthetic gingival reconstruction in the fixed partial restoration. Part 3: laboratory procedures and maintenance. Int J Periodontics Restorative Dent. 2010 Feb;30(1):19-29

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