Resolução de caso complexo de peri-implantite em região posterior de mandíbula envolvendo aumento ósseo vertical com tela de titânio e implante curto

RESUMO

Este trabalho descreve um caso clínico de implantes com diagnóstico de peri-implantite em região posterior de mandíbula. Após sua remoção, foi necessária a realização de regeneração óssea guiada usando a técnica de tela de titânio para ganho vertical e posterior instalação de implantes curtos. O uso das estruturas não absorvíveis, como as telas de titânio, possibilita melhores resultados em grandes reconstruções ósseas. O paciente foi tratado em duas etapas. Na primeira, foi realizada a remoção dos implantes contaminados e o aumento ósseo vertical com técnica da tenda, com instalação concomitante de um implante curto. Na segunda etapa, após seis meses, foi realizada a reabertura da região e instalação de mais dois implantes curtos. O uso de implantes curtos pode evitar reconstruções maiores, sendo desta forma extremamente vantajoso em casos como este descrito no trabalho.

Palavras-chave – Aumento ósseo; Tela de titânio; Implante curto.

ABSTRACT

This paper describes a clinical case of implants with a diagnosis of peri-implantitis in the posterior region of the mandible. After its removal, it was necessary to perform a guided bone regeneration using the titanium mesh technique for vertical augmentation and subsequent installation of short implants. The use of non-absorbable structures such as titanium mesh leads to better results in large bone reconstructions. The patient was treated in two stages. In the first stage, the removal of contaminated implants and vertical bone augmentation with the tent technique were performed, with the simultaneous installation of a short implant. In the second stage, after six months, the region was reopened, and two more short implants were installed. The use of short implants can avoid larger reconstructions and is therefore extremely advantageous in cases such as this described in the paper.

Key words – Bone augmentation; Titanium mesh; short implant.

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