IMPLANTE IMEDIATO EM REGIÃO DE  ÁREA ESTÉTICA PÓS EXODONTIA: RELATO DE CASO CLINÍCO

Gustavo Valiati; Carlos Eduardo Gazolla Zanettini; Marilia Paulus; Leonardo De Cesero; Irani Zanettini

doi:10.36557/2674-8169.2024v6n11p1536-1558

Autores

Gustavo Valiati FSG - Centro Universitário
Carlos Eduardo Gazolla Zanettini
Marilia Paulus
Leonardo De Cesero
Irani Zanettini

DOI:

https://doi.org/10.36557/2674-8169.2024v6n11p1536-1558

Palavras-chave:

Implante, Cirurgia, Implantes imediatos, Implantes convencionais, Extração, Provisionalização imediata.

Resumo

A crescente demanda por tratamentos odontológicos que aliam funcionalidade e estética tem impulsionado o desenvolvimento de técnicas de implante imediato após exodontia, especialmente em regiões de alta exigência estética. Esse método minimiza o tempo de tratamento e reduz o número de intervenções cirúrgicas, preservando de forma eficaz os tecidos ósseo e gengival, o que é fundamental para alcançar resultados estéticos satisfatórios. O objetivo deste estudo é apresentar um caso clínico em que a colocação de um implante dentário imediato, assistido por cirurgia guiada, foi realizada na região do dente 21, demonstrando os benefícios da técnica quanto à precisão e previsibilidade. A cirurgia guiada permitiu um planejamento tridimensional minucioso, garantindo uma instalação exata do implante e evitando danos desnecessários aos tecidos circundantes, o que contribuiu para uma cicatrização otimizada. Conclui-se que o uso de implante imediato, associado a enxertos e à tecnologia de cirurgia guiada, permite uma reabilitação mais previsível e eficaz, resultando em uma restauração estética e funcional superior. Esse caso reforça o valor da integração de tecnologias avançadas e técnicas minimamente invasivas na implantodontia, particularmente em regiões estéticas.

Palavras-chave: Exodontia, Implantação Dentária, Cirurgia Bucal.

Downloads

Não há dados estatísticos.

Referências

REFERÊNCIAS

AMORFINI, L. et al. Immediately loaded implants in rehabilitation of the maxilla: A two-year randomized clinical trial of Guided Surgery versus standard procedure. Clinical implant dentistry and related research, v. 19, n. 2, p. 280–295, 2017.

https://pubmed.ncbi.nlm.nih.gov/27790821/

ARAÚJO, M. G.; LINDER, E.; LINDHE, J. Bio-Oss collagen in the buccal gap at immediate implants: a 6-month study in the dog: Xenogenic graft and immediate implants. Clinical oral implants research, n. 1, p. 1–8, 2011.

https://pubmed.ncbi.nlm.nih.gov/21091538/

ARAÚJO, M. G.; WENNSTRÖM, J. L.; LINDHE, J. Modeling of the buccal and lingual bone walls of fresh extraction sites following implant installation. Clinical oral implants research, v. 17, n. 6, p. 606–614, 2006.

https://pubmed.ncbi.nlm.nih.gov/17092217/

BASSIR, S. H. et al. Outcome of early dental implant placement versus other dental implant placement protocols: A systematic review and meta-analysis. Journal of periodontology, v. 90, n. 5, p. 493–506, 2019.

https://pubmed.ncbi.nlm.nih.gov/30395355/

BECKER, W.; GOLDSTEIN, M. Immediate implant placement: treatment planning and surgical steps for successful outcome. Periodontology 2000, v. 47, n. 1, p. 79–89, 2008.

https://pubmed.ncbi.nlm.nih.gov/18412575/

BJELICA, R. et al. Implantoprosthetic rehabilitation by computer-guided implant surgery (M-guide): Case report. Acta stomatologica Croatica, v. 56, n. 1, p. 89–94, 2022.

https://pubmed.ncbi.nlm.nih.gov/35382487/

BLANCO, J. et al. Implant placement in fresh extraction sockets. Periodontology 2000, v. 79, n. 1, p. 151–167, 2019

https://pubmed.ncbi.nlm.nih.gov/30892772/

BRÅNEMARK, P. I. Osseointegration and its experimental background. The journal of prosthetic dentistry, v. 50, n. 3, p. 399–410, 1983. https://pubmed.ncbi.nlm.nih.gov/6352924/

CHACKARTCHI, T.; NEEMAN, T.; ZABROVSKY, A. Guided implant placement in fully edentulous patients. The full retraction protocol: Registration technique to improve treatment outcome. The International journal of periodontics & restorative dentistry, v. 40, n. 5, p. 721–729, 2020.

https://pubmed.ncbi.nlm.nih.gov/32926002/

COLOMBO, M. et al. Clinical applications and effectiveness of guided implant surgery: a critical review based on randomized controlled trials. BMC oral health, v. 17, n. 1, 2017.

https://pubmed.ncbi.nlm.nih.gov/29237427/

FUGAZZOTTO, P. A. Implant placement at the time of maxillary molar extraction: treatment protocols and report of results. Journal of periodontology, v. 79, n. 2, p. 216–223, 2008.

https://pubmed.ncbi.nlm.nih.gov/18251636/

GUPTA, G. et al. Immediate placement, immediate loading of single implant in fresh extraction socket. Contemporary clinical dentistry, v. 10, n. 2, p. 389–393, 2019.

https://pubmed.ncbi.nlm.nih.gov/32308307/

KAN, J. Y. K. et al. Immediate implant placement and provisionalization of maxillary anterior single implants. Periodontology 2000, v. 77, n. 1, p. 197–212, 2018. https://pubmed.ncbi.nlm.nih.gov/29478284/

KABI,S.etal.Immediate dental implant placement with or without autogenous bone graft: A comparative study. National journal of maxillofacial surgery, v. 11, n. 1, p. 46, 2020.

https://pubmed.ncbi.nlm.nih.gov/33041576/

LEE, C.-T.; TAO, C.-Y.; STOUPEL, J. The effect of subepithelial connective tissue graft placement on esthetic outcomes after immediate implant placement: Systematic review. Journal of periodontology, v. 87, n. 2, p. 156–167, 2016.

https://pubmed.ncbi.nlm.nih.gov/26469808/

MONACO, C. et al. 2D/3D accuracies of implant position after guided surgery using different surgical protocols: A retrospective study. Journal of prosthodontic research, v. 64, n. 4, p. 424–430, 2020.

https://pubmed.ncbi.nlm.nih.gov/32063539/

MORTON, D. et al. Consideration for contemporary implant surgery. Dental clinics of North America, v. 63, n. 2, p. 309–329, 2019. https://pubmed.ncbi.nlm.nih.gov/30825993/

OMAMI, G.; AL YAFI, F. Should cone beam computed tomography be routinely obtained in implant planning? Dental clinics of North America, v. 63, n. 3, p. 363–379, 2019.

https://pubmed.ncbi.nlm.nih.gov/31097132/

ORENTLICHER, G.; ABBOUD, M. Guidedsurgery for implant therapy. Oral and maxillofacial surgery clinics of North America, v. 23, n. 2, p. 239–56, v–vi, 2011.

https://pubmed.ncbi.nlm.nih.gov/21492799/

PUZIO, M. et al. Soft tissue augmentation around dental implants with connective tissue graft (CTG) and xenogenic collagen matrix (XCM). 1-year randomized control trail. Anatomischer Anzeiger [Annals of anatomy], v. 230, n. 151484, p. 151484, 2020.

https://pubmed.ncbi.nlm.nih.gov/32205206/

SINGH, G. et al. Comparisonof bone healing in immediate implant placement versus delayed implant placement. Journal of pharmacy & bioallied sciences, v. 13, n. Suppl 2, p. S1309–S1314, 2021.

https://pubmed.ncbi.nlm.nih.gov/35017978/

SOHN, J.-Y. et al. Simultaneous placement of an interpositional free gingival graft with nonsubmerged implant placement. Journal of periodontal & implant science, v. 44, n. 2, p. 94–99, 2014.

https://pubmed.ncbi.nlm.nih.gov/24778904/

ZUCCHELLI, G. et al. Autogenous soft tissue grafting for periodontal and peri-implant plastic surgical reconstruction. Journal of periodontology, v. 91, n. 1, p. 9–16, 2020.

https://pubmed.ncbi.nlm.nih.gov/31461778/