Seeking esthetics with implants and immediate loading associated with connective tissue graft

Valdomiro SIMONETI, Guilherme LUCKMANN, Eduardo Luis PASQUALI

Introduction: the use of osseointegrated implants in oral rehabilitation has been extensively studied, with clinical success being proved when these devices are associated with appropriate technique, immersion time and oral hygiene. Immediate loading is defined as when an implant is subjected to occlusal load within 24 hours after the surgical procedure. Bone quality, minimally traumatic surgical technique, primary stability, appropriate occlusal load distribution on implant long axis are key factors to long-term success of the immediate loading protocol. Objective: to report the case of a 42-year-old male patient who presented for treatment reporting pain. Clinical examination revealed crown fracture in mesiodistal direction and extending towards the root. Methods: considering favorable periapical radiographic findings, treatment option was for tooth extraction and immediate placement of a TPS surface-treated 5.0 x 13.0 mm screw-tapered implant (Replace Select, Steri-Oss). Prior and during surgery, a thin buccal gingiva was observed. Thus, it was decided to remove a connective tissue graft from the palate and place it below the buccal periost. Results: after three months of osseointegration, excellent bone and gingival response could be observed with satisfactory esthetics. Conclusion: immediate osseointegrated implant placement reduced treatment time and the number of surgical stages. Appropriate pre-surgical examination rendered the choice of a suitable implant easier, thus improving primary stability that is vital to osseointegration success.

Keywords: Dental implants. Osseointegration. Dental esthetics.

How to cite: Simoneti V, Luckmann G, Pasquali EL. Seeking esthetics with implants and immediate loading associated with connective tissue graft. Dental Press Implantol. 2015 Jan-Mar;9(1):34-41. doi: http://dx.doi. org/10.14436/2237-650X.9.1.034-041.oar

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