Implante e provisionalização imediatos em área estética – relato de caso

Fabiano Capato de Brito, Moriza Brito, Thiago Souza Resck, Luis Gustavo Zimmermann, Pollyany Policarpo de Almeida, Koji Arikawa
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Abstract

The smile is striking on people’s faces and a large part of the population craves the presence of all teeth, an enviable aesthetic, and a healthy dentition. Regardless of social class, several factors can contribute to the loss of dental elements, such as irreversible failures of endodontic treatments, periodontal diseases, advanced cavities, trauma, and root fractures. With the great evolution of Implantology, the implant appeared with immediate provisionalization, contributing to the loss of dental elements in aesthetic areas. This study aimed to report a clinical case of immediate implant installation and provisionalization after element 11 extraction and filling the gap with biomaterial. Such procedures are fundamental for maintaining horizontal and vertical dimensions in order to reestablish aesthetics and function. After imaging examinations, minimally traumatic extraction of the dental element was continued, installation of the implant and preparation of temporary restoration, conditioning of the gingival profile and, subsequently, molding to deliver the final crown in E.max ceramic. A clinical approach allows patient satisfaction with immediate aesthetics, preservation of the gingival profile, and reduced working time.
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美学领域的即时植入和预备-案例报告
微笑在人们的脸上引人注目,很大一部分人渴望所有牙齿的存在,令人羡慕的审美和健康的牙齿。无论社会阶层如何,有几个因素可以导致牙齿成分的丧失,如牙髓治疗的不可逆转的失败、牙周病、晚期蛀牙、创伤和根骨折。随着种植技术的不断发展,种植体的出现伴随着即刻的预备性,导致了美学领域牙元素的缺失。本研究旨在报道一例在11号元素拔出后立即植入并预备种植体并用生物材料填补间隙的临床病例。这些步骤是维持水平和垂直尺寸的基础,以便重建美学和功能。影像学检查后,继续进行微创拔牙,安装种植体并准备临时修复,调节牙龈轮廓,随后在E.max陶瓷中成型以提供最终的冠。临床方法可以使患者满意,立即美观,保存牙龈轮廓,减少工作时间。
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