Early Implant Placement Following Atraumatic Single-tooth Extraction in the Esthetic Zone: Case Report
DOI:
https://doi.org/10.36557/2674-8169.2024v6n8p4153-4172Keywords:
Periodontics. Dental Implant. Esthetics.Abstract
The dental rehabilitation of a patient following the extraction of a single tooth in an esthetic area is clinically challenging. One treatment option is the placement of an implant followed by the installation of an implant-supported crown. However, immediate placement is not always possible, and in such cases, early implant placement should be considered due to its high success rate and tissue preservation, which benefits the esthetic area. Therefore, the objective of this study is to report a clinical case of early single implant placement following atraumatic extraction in an esthetic area. A 53-year-old female patient presented to the dental clinic complaining of pain in tooth 22. The initial suspicion was a fracture, which was confirmed after a tomographic examination. The first step was the atraumatic extraction of the left lateral incisor. After 8 weeks, clinical examination revealed uneventful healing of the extraction socket. The implant bed preparation was performed according to the standard protocol, using a sequence of drills with increasing diameter and abundant cooling with saline solution. The implant inserted was a Straumann®️ Bone Level Tapered implant, with a diameter of 3.3 mm and a length of 10 mm, placed in the correct three-dimensional position, indicating good primary stability. Following the placement of the healing abutment, autogenous and xenogenous bone grafting was performed, along with the placement of a collagen membrane using the double-layer technique to enhance stability. After 3 months, the patient was cleared for the installation of a provisional prosthesis and has been under follow-up for 6 months, demonstrating clinically healthy peri-implant soft tissues. In conclusion, in this case, early single implant placement in an esthetic area resulted in excellent healing and surgical success, with tissue health and stability, as well as the preservation of the esthetic region.
Downloads
References
ATIEH, M. A. et al. The influence of insertion torque values on the failure and complication rates of dental implants: A systematic review and meta‐analysis. Clinical Implant Dentistry and Related Research, 25 mar. 2021.
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, 5 dez. 2018.
BUSER, Daniel; MARTIN, William; BELSER, Urs C. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. International Journal of Oral & Maxillofacial Implants, v. 19, n. 7, 2004.
BUSER, D. et al. Early implant placement with simultaneous guided bone regeneration following single‐tooth extraction in the esthetic zone: 12‐month results of a prospective study with 20 consecutive patients. Journal of periodontology, v. 80, n. 1, p. 152-162, 2009.
BUSER, D. et al. Implant placement post extraction in esthetic single tooth sites: when immediate, when early, when late? Periodontology 2000, v. 73, n. 1, p. 84–102, 21 dez. 2017.
CANELLAS, J. V. DOS S. et al. Which is the best choice after tooth extraction, immediate implant placement or delayed placement with alveolar ridge preservation? A systematic review and meta-analysis. Journal of Cranio-Maxillofacial Surgery, v. 47, n. 11, p. 1793–1802, nov. 2019.
CHEN, Jie. et al. Implantes dentários de carga imediata versus precoce ou convencional com próteses fixas: uma revisão sistemática e meta-análise de ensaios clínicos randomizados controlados. Revista de Odontologia Protética, v. 122, edição 6, 516 - 536. 2019.
DUTTA, Shubha Ranjan et al. Riscos e complicações associados à falha de implantes dentários: atualização crítica. National Journal of Maxillofacial Surgery, v. 11, n. 1, p. 14-19, 2020.
ELANI, H. W. et al. Trends in Dental Implant Use in the U.S., 1999–2016, and Projections to 2026. Journal of Dental Research, v. 97, n. 13, p. 1424–1430, 3 ago. 2018.
ELIAS, C. N. Factors Affecting the Success of Dental Implants. Implant Dentistry - A Rapidly Evolving Practice, 29 ago. 2011.
FERREIRA, D. H. C.; LOURENÇO, E. L. D. S.; MELO, I. O INSUCESSO NA PERDA PRECOCE DE IMPLANTES DENTÁRIOS. Revista Cathedral, v. 3, n. 1, p. 48–56, 1 mar. 2021.
KAHRAMANOĞLU, Erkut et al. The Clinical and Radiologic Outcomes of Early Loaded Implants After 5 Years of Service. International Journal of Oral & Maxillofacial Implants, v. 35, n. 6, 2020.
LEPPER, Guilherme Wannmacher. Implantes imediatos ou precoces? como decidir por uma alternativa terapêutica. Trabalho de Conclusão de Curso. (Graduação em Odontologia) - Universidade Federal do Rio Grande do Sul. 2021.
MIRANDA, Leonardo Oliveira de et al. Implantes imediatos em alvéolos com lesões periapicais associadas: uma revisão de literatura. Trabalho de Conclusão de Curso. (Graduação em Odontologia) - Universidade Federal de Santa Catarina. 2018.
MARTIN, João Vítor Okuyama. Fatores para perda precoce de implantes dentários. 2017. 33 f. Trabalho de Conclusão de Curso. (Graduação em Odontologia) -Universidade Estadual de Londrina, Londrina, 2017.
MARTINS, Vinícius et al. Osseointegração: análise de fatores clínicos de sucesso e insucesso. Revista odontológica de Araçatuba, v. 32, n. 1, p. 26-31, 2011.
NIR-HADAR, O.; PALMER, M.; SOSKOLNE, W. A. Delayed immediate implants: alveolar bone changes during the healing period. Clinical Oral Implants Research, v. 9, n. 1, p. 26–33, fev. 1998.
PULIDO, Sergio Paz. Neurofisiologia dos implantes dentários: Estado da arte. 2019. Dissertação de Mestrado. Egas Moniz School of Health & Science (Portugal).
RODRIGUEZ‐ORTIZ, G. et al. Early implant placement in ridge preserved extraction sockets: A pre‐clinical in vivo study. Clinical Oral Implants Research, v. 32, n. 6, p. 745–755, 16 de maio 2021.
SCHROPP, L.; WENZEL, A.; STAVROPOULOS, A. Early, delayed, or late single implant placement: 10-year results from a randomized controlled clinical trial. Clinical Oral Implants Research, v. 25, n. 12, p. 1359–1365, 8 out. 2013.
SLAGTER, K. W. et al. Immediate Placement of Dental Implants in the Esthetic Zone: A Systematic Review and Pooled Analysis. Journal of Periodontology, v. 85, n. 7, p. e241–e250, jul. 2014.
SVERZUT, Alexander Tadeu. Estudo da perda precoce de implantes osseointegraveis realizados na Faculdade de Odontologia de Piracicaba-Unicamp no período de julho de 1996 a julho de 2004. 2006. Tese de Doutorado. [sn].
VERMA, A. et al. Mechanical failures of dental implants and supported prostheses: A systematic review. Journal of Oral Biology and Craniofacial Research, v. 13, n. 2, p. 306–314, 1 mar. 2023.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Vitória Caetano Cervantes, Giovanna Picinato Carvalho, Ana Julia Rosa Bortoloso, Jamille Tomazini Mustafa
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are copyright holders under a CCBY 4.0 license.
