Aesthetic site development for a restorative- driven implant placement in a young patient with nasopalatal lateralization: a case report

Authors

  • Adriana Fernanda de Anda Hidalgo Department of Prosthetic and Implantology Dentistry, Universidad la Salle Bajio, Leon, Mexico
  • Guillermo Manuel Hernandez Diez de Sollano Department of Prosthetic and Implantology Dentistry, Universidad la Salle Bajio, Leon, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20250263

Keywords:

Case report, Nasopalatal lateralization, Implant

Abstract

This case report details the management and importance of site development in the anterior zone in a 22-year-old patient, looking for a good long-term prognosis and aesthetic result. The absence of a central incisor from a young age created an altered nasopalatine conduct that would have impede the placement of an implant. In order to achieve an adequate aesthetics and long-term prognosis, a step-by-step treatment plan was established. The treatment approach included a diagnostic mock-up, periodontal therapy, crown lengthening, nasopalatal lateralization, implant placement and a screw retained crown. The post-operative course showed satisfactory recovery with no complications. This case highlights the effectiveness of a multidisciplinary approach in managing complex anterior zone cases.

Metrics

Metrics Loading ...

References

Spear FM, Kokich VG. A multidisciplinary approach to esthetic dentistry. Dental clinics of North America. 2007;51(2):487. DOI: https://doi.org/10.1016/j.cden.2006.12.007

Lai HC, Zhang ZY, Wang F, Zhuang LF, Liu X, Pu YP. Evalua-tion of soft-tissue alteration around implant-supported single-tooth restoration in the anterior maxilla: the pink esthetic score. Clin Oral Implants Res. 2008;19(6):560–4. DOI: https://doi.org/10.1111/j.1600-0501.2008.01522.x

Buser D, Martin W, Belser UC. Optimizing aesthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. The Int J Oral & Maxillofac Impl. 2004;19:43–61.

Levine RA, Ganeles J, Gonzaga L, Kan JK, Randel H, Evans CD, et al. 10 Keys for successful aesthetic zone single immediate implants. Compendium of continuing education in dentistry. 2017;38(4):248-60.

Nevins M, Camelo M, De Paoli S, Friedland B, Schenk RK, Parmabenfenati S, et al. A study of the fate of the buccal wall of extraction sockets of teeth with prominent roots. Int J Periodon Rest Dent. 2006;26(1):19-29. DOI: https://doi.org/10.1308/135576106777795653

Mraiwa N, Jacobs R, Van Cleynenbreugel J, Sanderink G, Schutyser F, Sue-tens P, van Steenberghe D, et al. The nasopalatine canal revisited using 2D and 3D CT imaging. Dento Maxillo Facial Radiol. 2006;33(6):396–402. DOI: https://doi.org/10.1259/dmfr/53801969

Kraut RA, Boyden DK. Location of incisive canal in relation to central incisor implants. Implant Dent. 1998;7(3):221–5. DOI: https://doi.org/10.1097/00008505-199807030-00010

Artzi Z, Nemcovsky CE, Bitlitum I, Segal P. Displacement of the incisive foramen in conjunction with implant placement in the anterior maxilla without jeopardizing vitality of nasopalatine nerve and vessels: a novel surgical approach. Clinical oral implants research. 2001;11(5):505–10. DOI: https://doi.org/10.1034/j.1600-0501.2000.011005505.x

Rosenquist JB, Nyström E. Occlusion of the incisal canal with bone chips. A procedure to facilitate insertion of implants in the anterior maxilla. Int J Oral Maxillofac Surg. 1992;21(4):210–11. DOI: https://doi.org/10.1016/S0901-5027(05)80220-6

Scher EL. Use of the incisive canal as a recipient site for root form im-plants: preliminary clinical reports. Implant Dent. 1992;3(1):38–41. DOI: https://doi.org/10.1097/00008505-199404000-00007

Filippi A, Pohl Y, Tekin U. Sensory disorders after separation of the nasopalatine nerve during removal of palatal displaced canines: prospective investiga-tion. The British J Oral Maxillofac surg. 1992;37(2):134–6. DOI: https://doi.org/10.1054/bjom.1997.0092

Peñarrocha M, Carrillo C, Uribe R, García B. The nasopalatine canal as an anatomic buttress for implant placement in the severely atrophic maxilla: a pilot study. Int J Oral Maxillofac Impl. 2009;24(5):936–42.

Downloads

Published

2025-01-30

How to Cite

de Anda Hidalgo, A. F., & Hernandez Diez de Sollano, G. M. (2025). Aesthetic site development for a restorative- driven implant placement in a young patient with nasopalatal lateralization: a case report. International Journal of Research in Medical Sciences, 13(2), 837–840. https://doi.org/10.18203/2320-6012.ijrms20250263

Issue

Section

Case Reports