2018, Number 61
Immediate placement and provisionalization of implant with guided bone regeneration in anterior sector
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ABSTRACTThe concept of immediate implant placement and immediate provisionalization was a concept introduced by Worhle in the mid 90’s. It has been demonstrated that it is a predictable treatment modality in ideal aesthetic situations, with success rates comparable to those of delayed implant placement, which allows to preserve soft tissue, the reduction of treatment time, and provide the patient with the convenience of an immediate dental replacement. We present a case of a male patient who attended the periodontal clinic of UPAEP due to mobility and bleeding on tooth 21. In the anamnesis, he reported pain and suppuration after his clinical and radiographic examination, a diagnosis of severe chronic periodontitis was presented and depths up to 9 mm. Radiographically there is a Seibert class III bone defect. A predictable aesthetic success is achieved by placing a dental implant using a method that limits the amount of buccal contour change from the crest of the extraction site and potentially increases the thickness of the coronal peri-implant soft tissues at the implant-abutment interface. This approach involves the atraumatic removal of the tooth without raising the flap, and the placement of a bone graft with absorbable membrane in the residual gap and a provisional restoration retained by a screw that acts as a prosthetic sealing device.
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