[A case of reconstruction of esthetic and masticatory problems in prosthodontics].
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Dramatic improvements in aesthetics in osseointegrated implants can be accomplished with the new prosthetic solutions. These consist of the subgingival displacement of the "aesthetic limit" between the abutment (UCLA attachment), or by the utilization of the new components from the Brånemark System. A peri-implant soft tissue flap is suggested to create sufficient gingival thickness and, the same time, to allow for aesthetic and plaque removal considerations.
The reliability of the Brånemark implant system has been well documented. In addition, the technique has been employed in the anterior portion of the mouth with good cosmetic results. Fundamental to the success of these procedures is the multidisciplinary approach. The "Drilling Guide" is the outcome of an intimate relationship between members of the therapeutic team, this allows for the control of all parameters of aesthetics. The preparation of the prosthetic cradle by selecting splaying and eversion is presented as a new approach. The impression method is atraumatic and employs personalized unitary transfers. This leads to the required emergence profile and guarantees the optimum aesthetic result.
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