Resources to achieve esthetics in anterior teeth

As dentistry has evolved, the search for good esthetics has become increasingly frequent. Professionals must be constantly up-to-date regarding the latest advances. When a tooth is lost, there are several possible rehabilitation techniques. Adequate contour of the bone and gingiva is an essential factor if good esthetic results are to be achieved. In order to maintain the contour, techniques for immediate placement of implants, bone and gum grafting techniques and care in the correct establishment of the ideal position of the implant have been advocated. Sometimes dentists have to treat a patient whose implants have already been installed and are osseointegrated. This report was carried out in order to highlight the importance of understanding the information that is available to obtain appropriate gingival contours in such clinical conditions. A review of the literature was carried out on methods for obtaining gingival papilla and esthetics in the anterior maxilla, and on methods to construct a prosthesis for the clinical case described. The analysis of the outcome and of the degree of patient satisfaction suggests that the resources described can be successfully applied.

随着口腔医学的不断发展，临床对优质美学修复效果的追求愈发迫切。牙科从业者需持续跟进领域内的最新技术进展。单颗牙缺失后，存在多种可选的修复重建技术。若要获得理想的美学修复效果，骨组织与牙龈（gingiva）组织的适宜形态是核心影响因素。为维持该组织形态，学界已提出即刻种植术、骨移植与牙龈移植技术，以及精准确立种植体（implant）理想位置的操作规范。部分临床场景中，牙医需接诊已完成种植体植入且实现骨整合（osseointegrated）的患者。本综述旨在阐明，在上述临床情境中，掌握可用于获取适配牙龈轮廓的相关信息的重要性。本研究针对上颌前牙区牙龈乳头（gingival papilla）与美学效果的获取方法，以及前述临床病例的修复体（prosthesis）制作方法开展了文献综述。对治疗效果及患者满意度的分析表明，本文所述的相关临床手段可成功应用于实际诊疗工作。