Soft tissue conditioning with the Straumann ® Bone level implant ...

Case example for soft tissue conditioningEvery patient is an individual case and may need tobe treated in a different way. Accordingly, the followingcase shows one treatment strategy and procedure andillustrates how soft tissue conditioning can be handledto reach an esthetic result. The process in the cases correspondsto the previously explained treatment flow (page1–2) and is always the result of the collaboration of differentparties.Prof. Dr. D. Buser, Dr. J. Wittneben, CDT T. Furter (f.l.t.r.)Case: Soft tissue conditioning with the dynamiccompression technique 2(Courtesy of Dr. Wittneben)The following treatment was performed at the Universityof Berne in Switzerland. Various parties were involvedin this patient’s case. The surgery was performed byProf. Dr. D. Buser, soft tissue conditioning and the prosthodontictreatment was accomplished by Dr. J. Wittnebenand the dental laboratory work was done by CDT T.Furter from ArtDent in Berne. Extensive com municationand continuous information exchange between thetreating parties were essential for the treatment. Thepatient was also involved and well-educated during thetreatment.tooth 117.62 mmCase analysis and treatment planningA 21-year-old, non-smoking female patient was referredto the Oral Surgery Department from a private practicebecause tooth 11 presented an acute fistula includingan external root resorption following trauma. The patientwas referred from the Oral Surgery Departmentto the Department of Fixed Prosthodontics, University ofBerne, to perform a combined surgical-prosthodontic treatmentapproach.Figure 1: Initial situation presenting external root resorptionin position 11; thin buccal plate is visible in cone beamCT diagnosticAt the initial examination, the patient’s chief complaint wasbad odor and pus emerging from the fistula – she wantedto have a final treatment of her anterior tooth. The extraoralexamination showed no pathological findings. The intraoralexamination revealed that her teeth were all naturaland non-restored except for tooth 11, which presented witha composite restoration with discoloration and wear. Inthe radiographic analysis the diagnosis of a well-definedlateral root resorption could be confirmed presenting in theCT as well as in the periapical radiograph.10