Management of alveolar defect with one-piece implant
Esthetics is a prime demand for patients who seek anterior replacement of missing teeth. Resorption of the alveolar bone of the edentulous area occurs if left untreated for a long time. It further leads to thinning of the labial cortical plate in the maxillary arch.

Few other reasons for narrowing of the alveolar crest are anatomic such as congenitally missing teeth and pathologic, that is dental trauma from tooth avulsion. Nowadays, patients always look for a fixed alternative for the restoration of missing teeth. Other than a conventional fixed partial denture, dental implants are the first choice of treatment.

It is one of the difficult tasks for the clinician as well as the dental technician to meet the expectation of the patient when the ridge defect is present in the edentulous area. Extensively invasive procedures such as guided bone regeneration for correction of alveolar defects lead to prolong treatment time and induce psychological trauma to the patient.

Application of gingival porcelain can avoid extensive surgical procedure to rehabilitate missing soft and hard tissues. Artificial gingival restorations are better repair tools for managing maxillofacial defects and compensates for the present alveolar defects. Significantly, better esthetics results can be achieved by utilizing gingival porcelain.

This case report, published in the Indian Journal of Dental Sciences describes the use of currently available gingival porcelain to meet the esthetic demands and avoid unnecessary two surgical procedures guided bone regeneration (GBR) and further implant placement.

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