Keywords
Immediate Dental Implant Loading
Computer-Assisted
How to Cite
Abstract
50 years ago the first dental implant was installed with the purpose of replacing missing dental elements, it was an innovation at the time and revolutionized the way patients were treated. In contemporary Implantology, the immediate installation technique with alveolar preservation procedures and minimally traumatic extraction preserve fundamental structures for implant installation and prosthetic rehabilitation. Guided surgery in the immediate technique using cone beam tomography, software and a surgical guide offers benefits for the professional and the patient in the pre-operative evaluation and surgical procedure. The objective of the present study is a clinical case report in which a dental extraction procedure associated with immediate implantation with guided surgery will be described. The volunteer initially underwent anamnesis, clinical examination and imaging tests and then proceeded to the surgical procedure of extraction and immediate implantation associated with guided surgery. After that, the implant-supported prosthesis was installed and a final tomography was performed after 60 days of follow-up. This work will demonstrate a technique already described in the literature, which can guide professionals in future rehabilitative treatments.
References
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. et al. 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. Guided surgery 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. Comparison of 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.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2023 Thales Rossi, Camila Martinelli Baldança, Gabriel Girardi Constant, Felipe José Schneider, Enrico Emanuel Padilha Pizzolato, Adriana Aguzzoli