Atraumatic Extraction and Immediate Implant Installation

ABSTRACT Front tooth extraction typically results in significant loss of hard and soft tissue volume, both in the vestibular-lingual and mesiodistal directions. As these changes can compromise the esthetic results of prosthetic rehabilitation, extraction techniques that cause minimal trauma to the remnant tissues are applied in combination with immediate implant placement to minimize such alterations. The case reported in the present article illustrates a therapeutic plan consisting of atraumatic extraction followed by immediate implant placement and provisionalization. When carefully indicated and planned, our results indicate that this technique may provide promising immediate results relative to the maintenance and stability of the peri-implanted tissues. How to cite this article de Jesus Tavarez RR, Calixto AM, Filho EMM, Bandeca MC, Firoozmand LM, Gomes MGN, Malheiros AS. Atraumatic Extraction, Implant Placement and Immediate Provisionalization. J Contemp Dent Pract 2014;15(4):513-517.

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Correction of Malpositioned Implants through Periodontal Surgery and Prosthetic Rehabilitation Using Angled Abutment

Case Reports in Dentistry ◽

10.1155/2014/702630 ◽

2014 ◽

Vol 2014 ◽

pp. 1-9 ◽

Cited By ~ 1

Author(s):

Érica Dorigatti de Avila ◽

Rafael Scaf de Molon ◽

Luiz Antônio Borelli de Barros-Filho ◽

Marcelo Ferrarezi de Andrade ◽

Francisco de Assis Mollo ◽

...

Keyword(s):

Alveolar Bone ◽

Traumatic Injury ◽

Treatment Protocol ◽

Interdisciplinary Approach ◽

Central Incisor ◽

Maxillary Central Incisor ◽

Maxillary Tooth ◽

Immediate Implant ◽

Provisional Restoration ◽

Atraumatic Extraction

When dental implants are malpositioned in relation to the adjacent teeth and alveolar bone or in an excessive buccal or lingual position, the final prosthesis rehabilitation impairs the peri-implant health of the gingival tissues and the aesthetics of the patient. Thus, the purpose of this case was to report and discuss a multidisciplinary protocol for the treatment of a compromised maxillary tooth in a patient with an abscess in his right central incisor due to an excessive buccal implant position. The patient presented with an implant-supported provisional restoration on his right maxillary central incisor and a traumatic injury in his left central incisor. The treatment protocol consisted in (i) abutment substitution to compensate the incorrect angulation of the implant, (ii) clinical crown lengthening, (iii) atraumatic extraction of the left central incisor, and (iv) immediate implant placement. Finally, (v) a custom abutment was fabricated to obtain a harmonious gingival contour around the prosthetic crown. In conclusion, when implants are incorrectly positioned in relation to the adjacent teeth, associated with soft-tissue defects, the challenge to create a harmonious mucogingival contours may be achieved with an interdisciplinary approach and with the placement of an appropriate custom abutment.

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Modified Procedure in a Socket-Shield technique in the aesthetic zone - Case report

Journal of Surgery Peridontology and Implant Research ◽

10.35252/jspir.2019.1.001.2.07 ◽

2019 ◽

Vol 1 (2) ◽

Author(s):

Hélder Moura

Keyword(s):

Case Report ◽

Soft Tissues ◽

Alveolar Bone ◽

Socket Preservation ◽

Implant Placement ◽

Soft Tissue Volume ◽

Dental Rehabilitation ◽

Immediate Implant ◽

The Aesthetic ◽

Atraumatic Extraction

Purposes: After tooth extraction alveolar socket bone undergoes a remodelling process. The horizontal and the vertical bone losses complicate dental rehabilitation with implants. Socket-Shield technique maintain the periodontal attachment including cementum, periodontal ligament and bundle bone. In this report this technique was indicated to replace the lost teeth. Case report: A socket shield technique was used for immediate implant placement on a non-restorable teeth by failure of crowns in teeth 12, 11 and 21. Through a osteotomy and manipulation of soft tissues with provisionals it was possible to correct the gingival contours and zeniths. Conclusions: Atraumatic extraction and socket preservation technique decreases the alveolar bone resorption by maintaining the hard and the soft tissue volume. Provisionalization allows management of the soft tissues around the implants. This treatment offers a predictable aesthetic and functional result .

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EXODONTIA ATRAUMÁTICA COM USO DE EXTRATOR DENTÁRIO E INSTALAÇÃO IMEDIATA DE IMPLANTE EM REGIÃO ANTERIOR DA MAXILA

Journal of Dentistry & Public Health ◽

10.17267/2596-3368dentistry.v5i3.430 ◽

2015 ◽

Vol 5 (3) ◽

Author(s):

Thiago De Almeida Prado Naves Carneiro ◽

Mário Duílio Evaristo Henry Neto ◽

Nícolas Vasconcellos André ◽

Ana Cristina Peres Magalhães

Keyword(s):

Bone Repair ◽

Bone Architecture ◽

Surgical Trauma ◽

Safe Alternative ◽

New Techniques ◽

Implant Placement ◽

Immediate Placement ◽

Immediate Implant ◽

Atraumatic Extraction ◽

The Cost

New techniques have been developed in order to reduce the time of treatment, minimizing the cost and the psychological and surgical trauma of the patients, especially in regions with aesthetic involvement. The immediate placement of dental implants is a reality and clinical studies have shown that the success rate of immediate implant is similar to that placed after bone repair. The objective of this study is to present a clinical case of a immediate implant placement to substitute a central incisor after atraumatic extraction, through the use of Neodent root extractor. Immediate implant placement and immediate loading, when correctly indicated, are a quick and safe alternative for the rehabilitation of affected teeth , they also allow the preservation of bone architecture , and provides the patient a lower number of surgeries and consequently less morbidity. It also promotes psychological comfort, immediate aesthetic and functional satisfaction to the patient.

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