<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7507</journal-id>
<journal-title><![CDATA[Revista Cubana de Estomatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Estomatol]]></abbrev-journal-title>
<issn>0034-7507</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75072019000300018</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Atypical socket repair in aesthetic implant rehabilitation]]></article-title>
<article-title xml:lang="es"><![CDATA[Reparación atípica de alveolo en rehabilitación estética implantológica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toro]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Yoma]]></surname>
<given-names><![CDATA[Tomás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chaple Gil]]></surname>
<given-names><![CDATA[Alain Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[Gloria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,University of Chile Faculty of Dentistry Department of Prosthetic Dentistry]]></institution>
<addr-line><![CDATA[Santiago de Chile ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Politécnica y Artística del Paraguay  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,University of Medical Sciences of La Havana Faculty of Medical Sciences &#8220;Victoria de Girón&#8221; Department of Comprehensive Dentistry]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,University of Chile Faculty of Dentistry Department of Restorative Dentistry]]></institution>
<addr-line><![CDATA[Santiago de Chile ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Autonomous University of Chile Institute of Biomedical Sciences ]]></institution>
<addr-line><![CDATA[Santiago de Chile ]]></addr-line>
<country>Chile</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>56</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75072019000300018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75072019000300018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75072019000300018&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  In implant therapy, adequate alveolar bone volume and favorable alveolar ridge architecture are important considerations to obtain positive functional and esthetic rehabilitation.  Objective:  Describe prosthodontic treatment in an extraction socket with advanced palatal bone resorption secondary to a root fracture through the use of an implant-supported single fixed prosthesis.  Principal case data:  39-year-old male patient, without systemic disease, and completely dentate with no occlusal parafunction. Radiographic examination showed the presence of advanced palatal bone resorption, almost total loss of the palatal plate in all its extension secondary to a root fracture of the maxillary left lateral incisor and a large osteolytic area on the palatal aspect of the root. The procedure consisted in extraction of the maxillary left lateral incisor and eventual regeneration of the palatal plate using a resorbable collagen membrane, which was adapted to the bone defect. Then, particulate cortical bone allograft was compacted into the site. Four months after grafting the extraction site, an implant was placed. Six months after implant placement osseointegration was confirmed, and after several stages restoration with a zirconium dioxide abutment and a full ceramic crown was obtained and followed up for 2 years.  Conclusions:  Regeneration of the palatal plate was possible through the use of particulate cortical bone allograft and a resorbable collagen membrane adapted to the bone defect and placed in position to recreate the palatal plate. This allowed installation of an implant 4 months after the procedure. This technique allowed esthetic and functional results using a single fixed prosthesis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Para la terapia con implantes, un volumen adecuado de hueso alveolar y una arquitectura favorable de la cresta alveolar son consideraciones importantes para obtener una rehabilitación funcional y estética positiva.  Objetivo:  Describir el tratamiento protésico en una cavidad de extracción con reabsorción ósea palatina avanzada secundaria a una fractura de la raíz, mediante el uso de una prótesis fija única con soporte de implante.  Datos principales del caso:  Paciente masculino de 39 años, sin enfermedad sistémica, completamente dentado sin parafunción oclusal. El examen radiográfico mostró la presencia de una reabsorción ósea palatina avanzada, una pérdida casi total de la placa palatina en toda su extensión secundaria a una fractura de la raíz del incisivo lateral superior izquierdo y una gran área osteolítica en el aspecto palatino de la raíz. El procedimiento consistió en la extracción del incisivo lateral superior izquierdo y la regeneración posterior de la placa palatina mediante una membrana de colágeno reabsorbible, que se adaptó al defecto óseo. Luego, el aloinjerto de hueso cortical particulado se compactó en el sitio. Cuatro meses después de injertar el sitio de extracción, se colocó un implante. Seis meses después de la colocación del implante, se confirmó la osteointegración y, después de varias etapas, se obtuvo una restauración con un pilar de dióxido de circonio y una corona de cerámica completa, la que fue seguida durante dos años.  Conclusiones:  La regeneración de la placa palatina fue posible mediante el uso de aloinjerto de hueso cortical particulado y una membrana de colágeno reabsorbible adaptada al defecto óseo y colocada en una posición para recrear la placa palatina. Esto permitió la instalación de un implante 4 meses después del procedimiento. Con esta técnica se obtuvieron resultados funcionales y estéticos utilizando una única prótesis fija.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[dental implant]]></kwd>
<kwd lng="en"><![CDATA[alveolar bone grafting]]></kwd>
<kwd lng="en"><![CDATA[allograft]]></kwd>
<kwd lng="en"><![CDATA[osseointegration]]></kwd>
<kwd lng="en"><![CDATA[dental socket]]></kwd>
<kwd lng="es"><![CDATA[implante dental]]></kwd>
<kwd lng="es"><![CDATA[injerto de hueso alveolar]]></kwd>
<kwd lng="es"><![CDATA[aloinjertos]]></kwd>
<kwd lng="es"><![CDATA[oseointegración]]></kwd>
<kwd lng="es"><![CDATA[alveolo dental]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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