Provisionalização imediata e estética final em elementos anteriores

Provisionalização imediata: relato de caso mostra a instalação de um implante de carga imediata em um incisivo central.

AUTORES

Júlio Ferraz Campos
Mestrando em Odontologia Restauradora, Materiais Odontológicos e Prótese – ICT-Unesp.
Orcid: 0000-0003-0631-322X.

Ana Carolina Marques
Mestranda em Odontologia Restauradora, Materiais Odontológicos e Prótese – ICT-Unesp.
Orcid: 0000-0001-5392-5056.

Marcos Paulo Motta Silveira
Mestrando em Odontologia Restauradora, Materiais Odontológicos e Prótese – ICT-Unesp.
Orcid 0000-0001-9061-8565.

João Paulo Mendes Tribst
Professor assistente do Depto. de Odontologia – Unitau.
Orcid: 0000-0002-5412-3546.

Nathália de Carvalho Ramos
Professora assistente do Depto. de Odontologia – Universidade São Francisco.
Orcid: 0000-0002-0977-5350.

Marco Antonio Bottino
Professor titular do Programa de Odontologia Restauradora, Materiais Odontológicos e Prótese – ICT-Unesp.
Orcid: 0000-0003-0077-3161.

Lafayette Nogueira Junior
Professor associado do Programa de Odontologia Restauradora, Materiais Odontológicos e Prótese – ICT-Unesp.
Orcid: 0000-0001-8443-6722.

RESUMO

O tratamento com implantes na região anterior com coroa temporária imediata é uma alternativa imprescindível na reabilitação sobre implantes, pois apresenta redução do tempo e do número de procedimentos clínicos, manutenção dos tecidos gengival e ósseo, e benefícios psicológicos e sociais para os pacientes. Durante a fase de planejamento, faz-se necessária a escolha das abordagens apropriadas, técnica adequada de extração atraumática, biomateriais, posicionamento do implante no arco, provisionalização sobre o implante e demais fatores que, quando agregados, contribuem para uma adequada manutenção da arquitetura gengival ao redor do implante, garantindo a saúde do tecido e o sucesso estético, que é de extrema importância em casos de reabilitação anterior. O presente relato de caso mostrou a instalação de um implante de carga imediata em um incisivo central, trazendo a relação sobre a importância da manutenção dos tecidos peri-implantares por meio de provisionalização para que um bom resultado estético e funcional seja atingido em reabilitações semelhantes.

Palavras-chave – Implantes dentários; Provisionalização; Reabilitação estética; Coroa temporária imediata.

ABSTRACT

Treatment with implants in the anterior region with an immediate temporary crown is an essential alternative in rehabilitation on implants, as it presents a reduction in the time and number of clinical procedures, maintenance of gingival and bone tissues and psychological and social benefits for patients. During the planning phase, it is necessary to choose the appropriate approaches, adequate technique for atraumatic extraction, biomaterials, implant placement in the arch, provisionalization on the implant and other factors that, in aggregate, contribute to an adequate maintenance of the gingival architecture around the implant that will guarantee the health of the tissue and also the aesthetic success, which is of extreme importance in cases of anterior rehabilitation. The following case report shows the installation of an immediate loading implant in a central incisor, bringing the relationship about the importance of maintaining peri-implant tissues through provisionalization so that a good aesthetic and functional result is achieved in similar rehabilitations.

Key words – Dental implants; Provisionalization; Aesthetic rehabilitation; Immediate temporary crown.

Recebido em out/2021
Aprovado em nov/2021

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