Mardiyantoro / Pratiwi ODONTO Dental Journal. Volume 4. Nomer 1. Juli 2017 61 ONE-PIECE DENTAL IMPLANT UNTUK REHABILITASI RUANG KANINUS YANG SEMPIT Fredy Mardiyantoro*, Ariyati Retno Pratiwi ** ABSTRACT Background: Tooth loss has serious functional, esthetic disabilities, and compromising the patients’ quality of life. Dental implant treatment has become increasingly common for the management tooth loss. Diferent clinical situations, such as narrow edentulous space, are often encountered in which modifcations have to be considered in order to achieve successful rehabilitation. One piece dental implan provided a solution for rehabilitation of narrow edentulous space. The purpose of this paper is to report a rehabilitation management of narrow edentulous space. Case Management: A 22-year-old woman had an upper right canine #13 malposition so there was a narrow space between upper right lateral insisiv #12 and upper right frst premolar #14. The spacing between upper right lateral insisivus #12 and upper right frst premolar #14 was found to be about 5 mm. Radiograph was assessed for type of bone and for the presence of any pathology. A patient given an initial dental treatment such as scalling root planning and extraction of caninus #13. Following the clinical evaluation, the procedure and complication of implant therapy were explained and consent taken for proposed treatment. One piece dental implant site was anesthetized. Flaps on the buccal aspect were raised. One Piece dental implant inserted using dental implant kit. On completion of treatment, the patient’s esthetics and funcions improved. Conclusion: This study observed that one piece dental implants are suitable for rehabilitation of narrow edentulous space Keywords: One-piece Dental Implant, Tooth Loss, Narrow Edentoulus Space *Departemen Bedah Mulut Fakultas Kedokteran Gigi Universitas Brawijaya, **Departemen Biologi oral Fakultas Kedokteran Gigi Universitas Brawijaya Korespondensi: fredymardiyantoro@gmail.com PENDAHULUAN Kehilangan gigi dapat mempengaruhi kualitas hidup seseorang. Kehilangan gigi berarti hilangnya beberapa struktur orofasial, seperti jaringan tulang, saraf, reseptor, dan otot sehingga sebagian besar fungsi orofacial berkurang. 1 Penderita yang mengalami gigi yang hilang, tidak hanya mengalami kesulitan dalam mengunyah tetapi juga dapat mengganggu psikologis penderita, terlebih dengan kehilangan gigi anterior. Gigi anterior, khususnya gigi caninus, memiliki fungsi sebagai estetik. Oleh karena itu, kehilangan gigi anterior harus segera dilakukan perawatan rehabilitasi. Saat ini, teknologi dental implant semakin berkembang. Teknik pemasangan dental implant semakin sederhana dengan pilihan prostetik lebih luas namun dengan biaya relatif yang cukup murah. Hal ini mendorong dokter gigi untuk merekomendasikan dental implant sebagai perawatan rehabilitasi dalam menggantikan gigi yang hilang. Dental implant memberikan berbagai keunggulan dalam hal kestabilan dan kenyamanan dibandingkan gigi tiruan. 2 Dental implant yang tersedia saat ini adalah two-pieces (implant dan abutmen terpisah) dan one-piece (bagian abutmen menyatu dengan implan). Desain one-piece dental implant lebih sederhana dibanding two-pieces