Integration implantology, periodontics and prosthodontics in aesthetic rehabilitation: case report

Abstract

Immediate implants are a current reality in the evolution of oral implant rehabilitation. This technique allows the implant to be installed in the socket immediately after the extraction, presenting optimization of the clinical time and preservation of the shape of the soft tissues surrounding the implant. The objective of this study was to report a protocol of immediate implant installation associated with connective tissue graft (ETC) and immediate loading in aesthetic region associated with root coverage of the homologous tooth. A female patient (41 years old) presented an oral rehabilitation clinic with an acute inflammation in tooth 11, which presented external root resorption in the cervical region of the root, periodontal pocket greater than 7 mm and painless mobility. After antibiotic therapy, the surgical procedure was performed: (1) Minimally traumatic extraction of the tooth in question; (2) Injury curettage; (3) Installation of the dental implant; (4) Removal of connective tissue of the palate and (5) ETC envelopment in the vestibular of the implant and recoating of the element 21 that suffered from gingival recession. Immediately after the surgical procedure and implant locking, a provisional crown was installed in Ucla (provisional) made with the patient's own tooth and held in the Ucla by light-cured composite resin. This set of measurements resulted in a gain in keratinized mucosa thickness and reestablishment of peri-implant tissue health and vitality, resulting in satisfactory rehabilitation of aesthetic region.