Keywords
Caso clínico; Implante dental; Hueso guiado por injerto; Carga inmediata.
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Abstract
This case report describes the clinical and therapeutic approach used in a 32-year-old female patient with a tooth fracture in tooth 22. The patient, with no history of systemic disease, presented with a chronic periapical lesion and a cervical fracture in the affected tooth. Treatment included atraumatic extraction of the tooth, followed by placement of a 3.75 x 10mm post-extraction implant with immediate loading and guided bone regeneration. The minimally invasive surgical technique was employed using the Dentoflex® drilling sequence. The primary stability of the implant, measured in 37 Newtons of torque, allowed the placement of a prefabricated metal abutment for the subsequent cemented crown. Bone regeneration of the interimplant space was successfully performed, supplemented by connective grafting due to the patient's thin gingival phenotype. Postoperative follow-up, including controls at 7, 14 days and four months, showed a satisfactory conformation of the gingival margin and papillary tissue, consolidating the success of the treatment.
References
Jayesh R.S., Dhinakarsamy V. Osseointegration. J Pharm Bioallied Sci. 2015; 7 (1): S226-9.
Ahamed M.S., Mundada B.P., Paul P., Reche A. Partial Extraction Therapy for Implant Placement: A Newer Approach in Implantology Practice. Cureus. 2022; 14 (11): e31414.
Cha H.S., Kim J.W., Hwang J.H., Ahn K.M. Frequency of bone graft in implant surgery. Maxillofac Plast Reconstr Surg. 2016; 38 (1): 19.
Zhao R., Yang R., Cooper P.R., Khurshid Z., Shavandi A., Ratnayake J. Bone Grafts and Substitutes in Dentistry: A Review of Current Trends and Developments. Molecules. 2021; 26 (10): 3007.
Haugen H.J., Lyngstadaas S.P., Rossi F., Perale G. Bone grafts: which is the ideal biomaterial? J Clin Periodontol. 2019; 46 Suppl 21: 92-102.
Girón J., Kerstner E., Medeiros T., Oliveira L., Machado G.M., Malfatti C.F., Pranke P. Biomaterials for bone regeneration: an orthopedic and dentistry overview. Braz J Med Biol Res. 2021; 54 (9): e11055.
Solakoglu Ö., Heydecke G., Amiri N., Anitua E. The use of plasma rich in growth factors (PRGF) in guided tissue regeneration and guided bone regeneration. A review of histological, immunohistochemical, histomorphometrical, radiological and clinical results in humans. Ann Anat. 2020; 231: 151528.
Kang M., Huang C.C., Lu Y., Shirazi S., Gajendrareddy P., Ravindran S., Cooper L.F. Bone regeneration is mediated by macrophage extracellular vesicles. Bone. 2020; 141: 115627.
Thoma D.S., Buranawat B., Hämmerle C.H., Held U., Jung R.E. Efficacy of soft tissue augmentation around dental implants and in partially edentulous areas: a systematic review. J Clin Periodontol. 2014; 41 Suppl 15: S77-91.
Roccuzzo M., Grasso G., Dalmasso P. Keratinized mucosa around implants in partially edentulous posterior mandible: 10-year results of a prospective comparative study. Clin Oral Implants Res. 2016 ; 27 (4): 491-6.
Thoma D.S., Naenni N., Figuero E., Hämmerle C.H.F., Schwarz F., Jung R.E., Sanz-Sánchez I. Effects of soft tissue augmentation procedures on peri-implant health or disease: A systematic review and meta-analysis. Clin Oral Implants Res. 2018; 29 Suppl 15: 32-49.
Buyukozdemir Askin S., Berker E., Akincibay H., Uysal S., Erman B., Tezcan İ., Karabulut E. Necessity of keratinized tissues for dental implants: a clinical, immunological, and radiographic study. Clin Implant Dent Relat Res. 2015; 17 (1): 1-12.
Tani C., Carli L., Vagnani S., Talarico R., Baldini C., Mosca M., Bombardieri S. The diagnosis and classification of mixed connective tissue disease. J Autoimmun. 2014; 48-49: 46-9.
Gunnarsson R., El-Hage F., Aaløkken T.M., Reiseter S., Lund M.B., Garen T.; Norwegian MCTD study group; Molberg Ø. Associations between anti-Ro52 antibodies and lung fibrosis in mixed connective tissue disease. Rheumatology (Oxford). 2016; 55 (1): 103-8.
Zucchelli G., Tavelli L., McGuire M.K., Rasperini G., Feinberg S.E., Wang H.L., Giannobile W.V. Autogenous soft tissue grafting for periodontal and peri-implant plastic surgical reconstruction. J Periodontol. 2020; 91 (1): 9-16.
de Resende D.R.B., Greghi S.L.A., Siqueira A.F., Benfatti C.A.M., Damante C.A., Ragghianti Zangrando M.S. Acellular dermal matrix allograft versus free gingival graft: a histological evaluation and split-mouth randomized clinical trial. Clin Oral Investig. 2019; 23 (2): 539-550.
Lim H.C., An S.C., Lee D.W. A retrospective comparison of three modalities for vestibuloplasty in the posterior mandible: apically positioned flap only vs. free gingival graft vs. collagen matrix. Clin Oral Investig. 2018; 22 (5): 2121-2128.
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