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Journal of Prosthetic Dentistry
Clinical Report| Volume 128, ISSUE 6, P1145-1151, December 2022

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Application of digital prosthodontics and connective tissue grafting in the management of peri-implant mucosal recession around a malpositioned 1-piece implant: A clinical report

  • Jingwen Yang
    Affiliations
    Attending Doctor, Department of Prosthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Disease & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatlogy & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materals, Beijing, PR China
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  • Qi Liu
    Affiliations
    Private practice, Beijing, PR China
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  • Takahiko Shiba
    Correspondence
    Corresponding author: Dr Takahiko Shiba, 1-5-45, Yushima, Bunkyo-ku Tokyo 1138510, JAPAN
    Affiliations
    Former ITI Scholar, ITI Scholarship Center, Peking University School and Hospital of Stomatology, Beijing, PR China

    Assistant Professor, Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
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  • Chao Ji
    Affiliations
    Honorary Clinical Assistant Professor, Department of Periodontology and Implant Dentistry, Faculty of Dentistry, University of Hong Kong, Hong Kong SAR, PR China
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  • Takanori Iwata
    Affiliations
    Professor and Chair, Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
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  • Ting Jiang
    Affiliations
    Professor, Department of Prosthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Disease & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatlogy & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materals, Beijing, PR China
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      Abstract

      This clinical report describes a conservative approach to improve an unesthetic implant-supported crown and peri-implant mucosal recession around a malpositioned, 1-piece implant in the maxillary right central incisor region by using digital technology. In such clinical situations, the implants are usually removed because of an unpredictable definitive esthetic outcome. However, this clinical report describes the preservation of such a compromised implant by improving the esthetic outcome with a connective-tissue graft, and a digital approach used a 1-step preformed zirconia coping technique with an appropriate emergence profile.
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