medigraphic.com
ISSN 0001-0944 (Print)
Órgano Oficial de la Asociación Dental Mexicana

2014, Number 6

<< Back Next >>

Rev ADM 2014; 71 (6)

Alternative in immediate provisionalization following placement of a postextraction implant in the aesthetic zone. A case report.

Paz GA

Language: Spanish
References: 12
Page: 297-300
PDF size: 404.62 Kb.


ABSTRACT

The immediate placement of an implant post extraction has proven to be a successful and reliable procedure. However, there are still various theories as to the method of provisionalization and the loading protocol. We present the case of a female patient whose number 12 tooth suffered a fracture at root level. Favorable local conditions at the fracture site and an atraumatic extraction allowed an immediate implant of 4.3 mm diameter and 13 mm length to be placed. The original crown was prepared using resin composites in an ovate pontic design, before being attached to a temporary removable acetate guard to avoid uncontrolled and adverse loads, for the sole purpose of maintaining the soft tissues in place and in their original form. The results obtained after three weeks suggest an apical migration of just 1 mm from the gingival margin, with adequate papillary fill.


REFERENCES

  1. Hussain SK, McDonald A, Moles DR. In vitro study investigating the mass of tooth structure removed following endodontic and restorative procedures. J Prosthet Dent. 2007; 98 (4): 260-269.

  2. Arunpraditkul S, Saengsanon S, Pakviwat W. Fracture resistance of endodontically treated teeth: three walls versus four walls of remaining coronal tooth structure. J Prosthodont. 2009; 18: 49-53.

  3. Michael MC, Husein A, Bakar WZ, Sulaiman E. Fracture resistance of endodontically treated teeth: an in vitro study. Archives of Orofacial Sciences. 2010; 5 (2): 36-41.

  4. Schulte W, Heimke G. The tubinger immediate implant. Quintessenz. 1976; 27: 17-23.

  5. Chen ST, Wilson TG Jr., Hammerle CH. Immediate or early placement of implants following tooth extraction: review of biologic basis, clinical procedures and outcomes. Int J Oral Maxilofac Implants. 2004; 19 (Suppl.): 12-25.

  6. Kupeyan HK, Shaffner M, Armstrong J. Definitive CAD/CAM-guided prosthesis for immediate loading of bone-grafted maxilla: a case report. Clin Implant Dent Relat Res. 2006; 8: 16-167.

  7. Chiapasco M, Gatti C. Immediate loading of dental implants placed in revascularized fibula free flaps: a clinical report on 2 consecutive patients. Int J Oral Maxillofac Implants. 2004; 19: 906-912.

  8. Fugazzotto PA. Guided bone regeneration at immediate implant insertion and loading: a case report. Implant Dent. 2004; 13: 223-227.

  9. Henry P, Laney WR, Jemt T et al. Osseointegrated implants for single-tooth replacement: a prospective 5-year multicenter study. Int J Oral Maxillofac Implants. 1996; 11: 450-455.

  10. Polizzi G, Grunder U, Goene R et al. Immediate and delayed implant placement into extraction sockets: a 5-year report. Clin Impl Dent Relat Res. 2000; 2: 93-99.

  11. Grunder U, Polizzi G, Goene R et al. A 3-year prospective multicenter follow-up report on the immediate and delayed-immediate placement of implants. Int J Oral Maxillofac Implants. 1999; 14: 210-216.

  12. Romanos GE. Treatment of advanced periodontal destruction with immediately loaded implants and simultaneous bone augmentation: a case report. J Periodontol. 2003; 74: 255-261.




2020     |     www.medigraphic.com