Pre-prosthetic laser surgery versus single tooth implant in hypodontic case

Introduction: The primary objectives of any treatment procedure in dentistry include the restoration of the form and function, but identification and correction of mucogingival defects are critical for achieving optimal esthetic results. Both single tooth implants and prosthetic bridges are viable options for replacing a missing maxillary lateral incisor due to hypodontia. The best choice will depend on individual circumstances, including patients’ oral health, cost, and preferences.
Case description: This is a case of a 35 years old, healthy female patient with absence of the permanent maxillary lateral incisors and evident asymmetry when smiling. We used Er:YAG laser technology for soft tissue recontouring in ovoid pontic as a natural emergence profile. Similar laser treatment was done at the posterior teeth, doing simple gingivoplasty on the left side, while on the opposite side closed flap osseous crown lengthening was the solution for achieving full symmetry.
Discussion: Here’s a breakdown of the pros and cons of both treatment options to help us make an informed decision: natural look and feel, lifespan, improved oral health versus upfront cost, treatment time, age, bone health and budget.
The final restorative solution is a prosthetic bridge made of lithium disilicate as a quicker, and less invasive treatment option.
Conclusion/clinical significance: Such approaches can lead to improved patient outcomes and satisfaction. Ultimately, successful tissue recontouring as a pre-prosthetic preparing, not only enhances smile aesthetics but also contributes to the patient’s overall dental health and well-being.
Key Words: hypodontia, laser, tissue recontouring, surgery, dental implant, bridge.