Implant-Prosthetic rehabilitation in bilateral agenesis of maxillary lateral incisors with a mini split crest

Case Reports in Dentistry Volume 2016, 2016, Article number 3591321 Open Access Implant-Prosthetic rehabilitation in bilateral agenesis of maxillary lateral incisors with a mini split crest (Article) Figliuzzi, M.M.a , Giudice, A.a , Pileggi, S.a , Pacifico, D.a , Marrelli, M.b , Tatullo, M.bc , Fortunato, L.a a Department of Periodontics and Oral Sciences, Magna Graecia University, Catanzaro, Italy b Biomedical Section, Stem Cells Unit, Tecnologica Research Institute, Crotone, Italy c Biomedicine Unit, Calabrodental Clinic, Via E. Fermi, Catanzaro, Italy View additional affiliations View references (11) Abstract The reported clinical case describes the surgical procedure of ridge augmentation by using a "split crest" technique with a partial thickness flap and a subsequent implant-prosthetic rehabilitation aimed at treating a bilateral agenesis of the upper lateral incisors. In such cases with vestibule-palatal and mesial-distal scarce bone thicknesses associated with the need of a proper functional and aesthetic rehabilitation, the split crest technique is particularly suitable. In the case we reported, because of the poor bone thicknesses, we performed a minimally invasive split crest which allowed a correct insertion of the fixtures. This technique allowed us to achieve an optimal functional and aesthetic rehabilitation; moreover, we obtained a good emergency profile, ensuring the vitality of the close teeth and ensuring a good primary stability and the following osseointegration of dental implants.