Postextraction Implant Placement with Immediate Provisionalisation and Finalisation, Using a Simplified Technique: Technical Notes and a Case Report

Abstract

Trauma of maxillary teeth is a common accident. In most cases, the result is a root or crown fracture requiring tooth extraction and implant placement. Immediate postextraction implants are considered an effective option for restoring missing teeth in order to achieve successful aesthetic and functional outcomes. The aim of this article is to describe a clinical case in which a fractured maxillary canine was replaced by an osseointegrated implant using a simplified technique in a patient who was a smoker and presented poor oral hygiene. The technique adopted permits a reduction of the number of implant components and consequently a lower cost of treatment, while at the same time maintaining acceptable aesthetic and functional outcomes.

Immediate Implant Placement With Provisionalization Using Autogenous Bone Graft Particulates vs Deproteinized Bovine Bone vs Nano-Hydroxyapatite as a Space Filling Material in the Maxillary Esthetic Zone

“…This technique was easier, cheaper and faster than other techniques. This technique comes in agreement with recent researches (16) .…”

Dental implant placement with flapless and flapped technique: A systematic review

“…16 This approach is generally indicated for specific patients such as those who demand esthetic treatments, implants placed in esthetic areas, 17,18 fractured teeth, 18 endodontic failures, nonrestorable caries, and radicular caries. 19 In these cases, the periodontal tissue should be healthy prior to implant placement. Soft tissue dehiscence and fenestrations are considered as contraindication for flapless implant insertion.…”

“…Soft tissue dehiscence and fenestrations are considered as contraindication for flapless implant insertion. 19 Implant treatment outcomes by flapless approach have been reviewed previously. 20-22 A review of 13 studies revealed that flapless technique results in 97.2% survival rate of dental implants and a mean 1.45mm marginal bone loss during 1-4 years of follow up.…”

Evaluation of alveolar Bone dimensional Changes after flapless immediate implant placement

“…Osseointegration is the primary biological and biophysical process by which dental implant therapy is predictably effective in replacing missing teeth (2) . In implantology, the concept of osseointegration was first introduced by Brånemark in 1964, and the guidelines for a direct connection between bone and titanium were described by the same author (3) .…”