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Implantação imediata em região anterior da maxila

Tratamento devolve sorriso estético, com condições biológicas, funcionais e longínquas, através do uso de implantes instalados em alvéolos frescos.


AUTORES

Gabriela Dias Rosso dos Santos
Especialista em Implantodontia – Faoa/APCD; Pós-graduada em Odontologia Hospitalar – Hospital Israelita Albert Einstein.
Orcid: 0000-0003-1131-6636.

Hid Miguel Junior
Doutor em Implantodontia – Unicsul; Mestre em Implantodontia – São Leopoldo Mandic; Especialista em Implantodontia – APCD.
Orcid: 0000-0003-4029-4683.

José Camilo Furlani
Especialista em Periodontia – Fundecto; Mestre em Ciências – ICB-USP.
Orcid: 0000-0001-8227-3413.

Carlos Beltrão
Especialista em Prótese Dentária e Implantodontia – APCD; Mestre em Ciências da Saúde – Unip.
Orcid: 0000-0003-3164-2957.

RESUMO

O objetivo do tratamento foi devolver para a paciente um sorriso estético, com condições biológicas, funcionais e longínquas, através do uso de implantes instalados em alvéolos frescos, com instalação de provisórios imediatos para posterior realização de reabilitação com próteses sobre implantes definitivas. O caso clínico envolvia reabilitação mediada por implantes imediatos na região dos incisivos centrais superiores. Apesar da heterogeneidade dos estudos, o caso clínico atingiu um resultado estético satisfatório, sem grandes alterações da arquitetura óssea do rebordo alveolar e com a manutenção da arquitetura gengival, incluindo a preservação da posição de papilas e ameias, e sem intercorrências, o que abre horizontes para que novas pesquisas verifiquem a longevidade deste tipo de procedimento reabilitador em um único tempo cirúrgico, e para pontuar essa sequência clínica como uma modalidade de tratamento viável, apesar de arriscado em casos de reabilitação mediada por implantes em área estética maxilar.

Palavras-chave – Preservação do rebordo alveolar; Regeneração óssea guiada; Reabsorção óssea; Implantação imediata; Provisionalização imediata.

ABSTRACT

The aim of the treatment was to give the patient back an aesthetic smile, biological, functional and distant conditions through the use of implants installed in fresh alveoli with immediate temporary installation for later rehabilitation with prostheses over permanent implants. The clinical case involved rehabilitation mediated by immediate implants in the region of the maxillary central incisors. Despite the heterogeneity of the studies, the clinical case achieved a satisfactory aesthetic result, without major changes in the bone architecture of the alveolar ridge and with the maintenance of the gingival architecture, including the preservation of the position of the papillae and embrasures and without complications, which opens up horizons for both new researches that verify the longevity of this type of rehabilitation procedure in a single surgical time, and to point out this clinical sequence as a viable treatment modality, although demanding in cases of implant-mediated rehabilitation in the maxillary esthetic area.

Key words – Alveolar rigde preservation; Guided bone regeneration; Bone resorption; Immediate implantation; Immediate provisionalization.

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