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.

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