Deslize apical do retalho associado ao cicatrizador personalizado para recondicionamento peri-implantar

Relato de caso apresenta técnica simples para o estabelecimento de um perfil de emergência adequado reposicionando o tecido peri-implantar e restabelecendo saúde e estética.

AUTORES

Vinicius Rizzo Marques
Doutor em Reabilitação Oral – FOB/ USP; Coordenador do Mestrado em Reabilitação Oral e Implantes – PUCMM, República Dominicana.
Orcid: 0000-0002-9749-876X.

Samira Sandy Ferreira Strelhow
Doutora em Reabilitação Oral – FOB/USP; Professora da especialização em Prótese Dentária – CPO/Centro de Pós-Graduação.
Orcid: 0000-0001-8929-7215.

Henrique Müller de Quevedo
Doutor em Reabilitação Oral – FOB/USP; Professor da especialização em Prótese Dentária – CPO/Centro de Pós-Graduação.
Orcid: 0000-0001-7762-5146.

Patrick Henry Machado Alves
Doutor em Reabilitação Oral – FOB/USP; Professor de Periodontia e Clínica Integrada – Unisagrado.
Orcid: 0000-0002-9749-876X.

RESUMO

Uma paciente do sexo feminino com 52 anos de idade foi referida de outro profissional para instalação de prótese sobre implante na região do 26. Clinicamente, o implante apresentava-se levemente palatinizado e a prótese confeccionada de maneira inadequada, onde o perfil de emergência não se apresentava condicionado, impedindo uma correta manutenção dos tecidos peri-implantares. Foi realizado um deslize apical do retalho, associado com a instalação de um cicatrizador personalizado, para proporcionar um perfil de emergência adequado. A prótese foi confeccionada seguindo a nova forma gengival, proporcionando uma correta higienização e estabilidade dos tecidos adjacentes. A modalidade de tratamento descrita mostrou-se bastante efetiva, simples e sem maiores complicações para a paciente, além de simples e de custo aceitável, podendo ser aplicada de maneira confiável.

Palavras-chave – Implantação dentária; Procedimentos cirúrgicos bucais; Prótese dentária; Implante dentário; Periodontia; Gengiva; Periodonto.

ABSTRACT

This paper reports a 52-year-old female patient referred from another professional for installation of an implant prosthesis in the region of tooth #26. Clinically, the implant was slightly palatal and the prosthesis was inadequately made, with the emergency profile being not conditioned and preventing correct maintenance of peri-implant tissues. In this way, an apical sliding flap was performed, associated with the installation of a customized healing abutment to provide an adequate emergency profile. The prosthesis was made following the new gingival form, providing correct hygiene and stability of adjacent tissues. The treatment modality described in this case proved to be very effective, simple, and without major patient complications, being its application simple and of acceptable costs.

Key words – Dental implantation; Oral surgical procedures; Dental prosthesis; Dental implants; Periodontics; Gingiva; Periodontium.

Recebido em ago/2021
Aprovado em ago/2021

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