The Fourth Dimension of 3D Surgical Alveolar Ridge Reconstruction: Bone and Soft Tissue Grafting to Compensate for Dynamic Craniofacial Changes Associated with Aging in Partially Edentulous Patients Influencing Placement Consideration for Osseointegrated Implants

Management of a prosthetic complication on an implant restoration placed when the patient was 10 years old: A case report

“…Males also exhibit the down-growth of the anterior maxilla with aging. 12 Although the incisal edge of the new implant crown is even with that of the maxillary left central incisor, the implant will not accommodate continuous down-growth of other maxillary incisors. Therefore, future modifications and/or adjustments to the prosthesis may be necessary.…”

“…7 In fact, skeletal and dental changes occur throughout life. 12 The facial skeleton grows vertically with aging unless interfering factors, such as tooth loss, occur. 13 The selective resorption pattern of the maxilla results in facial bone loss in the pyriform region of the nose.…”

“…13 The upper lip length increases while its thickness decreases. 12 With aging, dental arch circumference and length decrease, and the teeth tilt mesially. 12 Continuous changes in the position of teeth and hard and soft facial tissue over time can create esthetic, biologic, and/or prosthetic complications to the implants and the prostheses connected to the implants that are stationary.…”

“…12 With aging, dental arch circumference and length decrease, and the teeth tilt mesially. 12 Continuous changes in the position of teeth and hard and soft facial tissue over time can create esthetic, biologic, and/or prosthetic complications to the implants and the prostheses connected to the implants that are stationary. This case report describes the management of a prosthetic complication occurring 28 years after the implant placement, which was performed when the patient was 10 years old.…”

“…Although the likelihood of persisting substantial vertical growth after the hand wrist R‐J stage is insignificant, in some cases, dentoalveolar growth of up to 1.75 mm in the mandibular incisor area and up to 1.25 mm in the maxillary incisor area may occur after this stage 7 . In fact, skeletal and dental changes occur throughout life 12 . The facial skeleton grows vertically with aging unless interfering factors, such as tooth loss, occur 13 .…”