Immediate implant with provisionalization and soft tissue grafting : a case report with 4-years follow-up

• Autor(a) principal: Siqueira, Glaudemir Reinaldo Cavalcanti de
• Data de Publicação: 2020
• Tipo de documento: Dissertação
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.14/31279
• topic: Dental implants; Esthetic; Extraction socket; Single-tooth implants; Immediate loading; Implant placement; Implantes dentários; Estética; Alvéolo de extração; Implantes unitários; Carga imediata; Colocação de implantes; Domínio/Área Científica::Ciências Médicas::Ciências da Saúde

Purpose: This paper presents a case report of immediate implant placement (IIP) with provisionalization and soft-tissue grafting to restore function and esthetics, with follow-up of 14-months and 4-years. Materials and Methods: Minimally traumatic extraction was performed with IIP, soft-tissue grafting, and immediate provisional crown. Six months after optimal healing, the patient was submitted to an esthetic restorative work through veneers in lithium disilicate. Results: Fourteen months and 4-year follow-up visits revealed stability of the peri-implant soft-tissues with peri-implant health status. At both follow-up visits, pink and white esthetic score (PES/WES) were evaluated to objectively assess esthetic outcomes. Intraoral digital radiographs showed minimal crestal bone level changes throughout the follow-up period. It was demonstrated that IIP is a sensitive technique procedure and a 3D implant position is crucial for success. Conclusion: Immediate implant with grafting to fill the gap and soft tissue augmentation led to minimal changes of peri-implant tissues and PES/WES scores were high. Immediate provisionalization helped to maintain soft tissue architecture although proper case selection is key for long-term success.