You are currently viewing Preservação da arquitetura gengival em região estética com extração e colocação imediata do implante osseointegrável após traumatismo dentário: um ano de acompanhamento com tomografia de feixe cônico

Preservação da arquitetura gengival em região estética com extração e colocação imediata do implante osseointegrável após traumatismo dentário: um ano de acompanhamento com tomografia de feixe cônico

RESUMO

Este artigo buscou demonstrar um caso clínico de fratura radicular de um incisivo central superior direito (dente 11) após traumatismo dentário, com a exodontia daquele elemento, inserção de um implante osseointegrável e provisionalização imediata através da coroa natural do dente fraturado, realizando-se o diagnóstico e o acompanhamento do caso por meio de tomografia computadorizada cone-beam. Pode-se notar que a possibilidade do uso de provisórios realizados imediatamente após a extração com a coroa natural do dente perdido alia a manutenção das características gengivais e dentárias. Além disso, o controle por meio do uso de TCCB possibilitou a avaliação pós-operatória, onde se notou a manutenção do tecido ósseo vestibular mesmo sem o uso de enxertia óssea nessa região, neste caso, tendo-se o gap menor do que 2 mm.

Palavras-chave – Implante dentário; Estética dentária; Prótese dentária; Tomografia computadorizada de feixe cônico.

ABSTRACT

This article illustrates a case report with trauma and root fracture at the maxillary central incisor (11) followed by extraction and immediate provisionalization using the own patient´s natural tooth crown. This treatment modality allows for maintenance of the gingival and dental characteristics. Besides, the use of CBCT in the postoperative phase demonstrated that the bone tissue was preserved without grafting in a gap area with less than 2 mm.

Key words – Dental implants; Esthetics; Dental; Dental prosthesis; Cone-beam computed tomography.

Referências

  1. da Cunha H, Francischone Jr. CE, de Oliveira RC. A comparison between cutting torque and resonance frequency in the assessment of primary stability and final torque capacity of standard and TiUnite single-tooth implants under immediate loading. Int J Oral Maxillofac Implants 2004;19(4):578-85.
  2. Andersen E, Haanaes HR, Knutsen BM. Immediate loading of single-tooth ITI implants in the anterior maxilla: a prospective 5-year pilot study. Clin Oral Implants Res 2002;13(3):281-7.
  3. Chaushu G, Chaushu S, Tzohar A, Dayan D. Immediate loading of single-tooth implants: immediate versus non-immediate implantation. A clinical report. Int J Oral Maxillofac Implants 2001;16(2):267-72.
  4. Gomes FV, Volkart FB, Mayer L. Immediate loading in the anterior region using the lost clinical crown natural tooth: a case report. Dental Press Implantol 2012;6(4):46-54.
  5. Cantore S, Ballini A, Crincoli V, Grassi FR. Treatment of horizontal root fracture: a case report. Cases J 2009;19(2):8101-5.
  6. Andersson L, Emami-Kristiansen Z, Högström J. Single-tooth implant treatment in the anterior region of the maxilla for treatment of tooth loss after trauma: a retrospective clinical and interview study. Dent Traumatol 2003;19(3):126-31.
  7. Furze D, Byrne A, Donos N, Mardas N. Clinical and esthetic outcomes of single-tooth implants in the anterior maxilla. Quintessence Int 2012;43(2):127-34.
  8. Jung RE, Benic GI, Scherrer D, Hämmerle CH. Cone beam computed tomography evaluation of regenerated buccal bone 5 years after simultaneous implant placement and guided bone regeneration procedures – a randomized, controlled clinical trial. Clin Oral Implants Res 2015;26(1):28-34.
  9. Chappuis V, Engel O, Reyes M, Shahim K, Nolte LP, Buser D. Ridge alterations post-extraction in the esthetic zone: a 3D analysis with CBCT. J Dent Res 2013;92(12 Suppl):195S-201S.
  10. Barreto LFD, Saliba FM, Deus G, Thurler K, Brigagão VC. Uso da coroa clínica dentária natural como material restaurador para prótese sobreimplante. ImplantNews 2012;9(2):168-79.
  11. Buser D, Chappuis V, Bornstein MM, Wittneben JG, Frei M, Belser UC. Long-term stability of contour augmentation with early implant placement following single tooth extraction in the esthetic zone: a prospective, cross-sectional study in 41 patients with a 5 to 9-year follow-up. J Periodontol 2013;84(11):1517-27.
  12. Chen ST, Buser D. Clinical and esthetic outcomes of implants placed in postextraction sites. Int J Oral Maxillofac Implants 2009;24(Suppl):186-217.
  13. Groisman M, Frossard WM, Ferreira HM, de Menezes Filho LM, Touati B. Single-tooth implants in the maxillary incisor region with immediate provisionalization: 2-year prospective study. Pract Proced Aesthet Dent 2003;15(2):115-22.
  14. Crespi R, Capparé P, Gherlone E, Romanos GE. Immediate versus delayed loading of dental implants placed in fresh extraction sockets in the maxillary esthetic zone: a clinical comparative study. Int J Oral Maxillofac Implants 2008;23(4):753-8.
  15. Jivraj S, Reshad M, Chee WW. Critical appraisal. Immediate loading of implants in the esthetic zone. J Esthet Restor Dent 2005;17(5):320-5.
  16. Schroeder HE. Healing and regeneration following periodontal treatment. Dtsch Zahnarztl Z 1986;41(6):536-8.
  17. de Molon RS, Avila ED, Cirelli JA, Mollo-Jr FD, Andrade MF, Barros-Filho LA et al. A combined approach for the treatment of resorbed fresh sockets allowing immediate implant restoration. A 2-Year Follow-Up. J Oral Implantol 205;41(6):712-83.
  18. Khzam N, Mattheos N, Roberts D, Bruce WL, Ivanovski S. Immediate placement and restoration of dental implants in the esthetic region: clinical case series. J Esthet Restor Dent 2014;26(5):332-44.
  19. Sharma P, Anandakrishna GN, Kaur P, Dahiya V. Implant esthetic restoration in ridge deficiencies in cases of trauma: a case report. J Oral Implantol 2013;39(5):621-4.
  20. Araújo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. Am experimental study in the dog. J Clin Periodontol 2005;32(2):212-8.
  21. Araújo MG, Sukekava F, Wennström JL, Lindhe J. Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog. J Clin Periodontol 2005;32(6):645-52.
  22. Berberi AN, Sabbagh JM, Aboushelib MN, Noujeim ZF, Salameh ZA. A 5-year comparison of marginal bone level following immediate loading of single-tooth implants placed in healed alveolar ridges and extraction sockets in the maxilla. Front Physiol 2014;31(5):29.
  23. Calandriello R, Tomatis M, Rangert B. Immediate functional loading of Brånemark System implants with enhanced initial stability: a prospective 1- to 2-year clinical and radiographic study. Clin Implant Dent Relat Res 2003;5(Suppl.1):10-20.
  24. Goldberg PV, Higginbottom FL, Wilson TG. Periodontal considerations in restorative and implant therapy. Periodontol 2000 2001;25(1):100-9.
  25. Rosa JCM, Rosa DM, Zardo CM, Rosa ACPO, Canullo L. Restauração dentoalveolar imediata pós-exodontia com implante platform switching e enxertia. Revista ImplantNews 2009;6(4):381-5.
  26. Sarment DP, Meraw SJ. Biological space adaptation to implant dimensions. Int J Oral Maxillofac Implants 2008;23(1):99-104.
  27. Belser U, Buser D, Higginbottom F. Consensus statements and recommended clinical procedures regarding esthetics in implant dentistry. Int J Oral Maxillofac Implants 2004;19(Suppl):73-4.
  28. Soares GP, Valentino TA, Lima DANL, Paulillo LAMS, Lovadino JR. Esthetic Analysis of the smile. Braz J Oral Sci 2007;6(21):1313-9.
  29. Mah P, Reeves TE, McDavid DW. Deriving Hounsfield units using grey levels in cone beam computed tomography. Dentomaxillofac Radiol 2010;39(6):323-35.
  30. Katsumata A, Hirukawa A, Noujeim M, Okumura S, Naitoh M, Fujishita M et al. Image artifact in dental cone-beam CT. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101(2):652-7.
  31. Harvey BV. Optimizing the esthetic potential of implant restorations through the use of immediate implants with immediate provisionals. J Periodontol 2007;78(4):770-6.
  32. Son MK, Jang HS. Gingival recontouring by provisional implant restoration for optimal emergence profile: report of two cases. J Periodontal Implant Sci 2011;41(6):302-8.

 

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