The objective of this article is to review the keys for the correct placement of implants in the anterior sector of the maxilla in order to achieve long-term implant success and, since it is an anterior sector, correct aesthetics.
There should be a distance of at least 1.5 mm between the tooth and the implant, and ideally, the minimum vestibular thickness of bone of the implant should be 2 mm. Between implants the mesio-distal distance should be 3 mm and regarding the apico-coronal we should have at least 3 mm from the margin of the implant to the future restoration.
The case must be planned carefully and we have to decide: when to place the implant, the provisional restoration, the type of implant, requirement of a graft, etc.
The root cyst is a cyst of odontogenic epithelial origin and inflammatory cause. It represents one of the most frequent cyst found on the oral cavity and has greater frequency at the maxillary level. The diagnosis is usually a casual finding on a routine X-ray. They are associated to tooth with negative vitality and the size is very variable. The treatment is a combined endodontic (root canal treatment) and surgical treatment (excision of the lesion). The diagnosis of certainty is obtained by a histopathological analysis.
In this clinical case, a common situation of this type of lesions is shown, although in this case the patient comes to the clinic with symptoms. The root canal treatment of the affected tooth was performed. The periapical lesion did not disappear, so cystectomy was performed. The sample was sent for histopathological analysis that confirmed the diagnosis of radicular cyst.
After 6 months follow-up, a periapical x-ray revealed how the lesion was ossifying.
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