#Education 3 d ago

Aesthetic Clinical Case for Immediate Implant Therapy for Maxillary Central Incisors

By Gerardo Guzman, Silvia Rojas-Rueda, Franciele Floriani, Carlos A Jurado, Francisco X Apiazu-Flores, Nicholas G Fischer. A selected scientific recommendation by Dr. Marcin Maj.

STUDY OBJECTIVES METHODS AND RESULTS

This case report features a female patient with the chief complaint of needing to replace an anterior crown. After a comprehensive oral assessment and cone beam computed tomography (CBCT) radiographic examination, it was determined that the crown on Tooth #9 was subgingivally fractured. The procedure involved atraumatic extraction of Tooth #9, followed by immediate implant placement. Xenograft bone graft material was placed to complete the space between the buccal bone and the implant. A connective tissue graft (CTG), 1 mm thick and 5 mm wide, was harvested from the palate and placed. The final implant crown was restored using a prefabricated abutment with a titanium base and zirconia ceramic dental material.

CONCLUSIONS

A well-planned combined treatment, including atraumatic tooth extractions for immediate implants and ideal contouring of soft tissues, can significantly impact the outcome of aesthetic restorations. A single immediate implant-supported crown in the aesthetic zone was able to fulfill the patient's aesthetic expectations at the 2-year follow-up. 

Adapted from G Guzman et al., Case Rep Dent. 2024 Dec 3:2024:4199406, for more info about this publication click HERE

This review is part of the Straumann "Scientific Highlights Newsletter 1/25"

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