Simultaneous extraction implantation, immediate aesthetics and guided bone regeneration 26 January 2016
Simultaneous extraction implantation, immediate aesthetics and guided bone regeneration
The implant-borne rehabilitation is nowadays considered a reliable and predictable technique. Initially, burying the implant was a prerequisite to ensure osseointegration. Subsequently, several studies have shown that this state of osseointegration can be achieved without completely burying the implant, thus simplifying the operative procedure.
The application of new technologies to implants, both at the surface state and in the architectural design, have led to shorten considerably the treatment time and to consider, in some cases, an immediate fixed provisional prosthesis.
The changes in post-operative protocols towards an immediate loading and aesthetics have offered comfort and satisfaction both aesthetically and functionally to patients. The use of removable prosthesis often poorly accepted by patients is no longer essential in certain clinical situations.
Anamnesis
A patient is referred for medical advice on an implant-borne rehabilitation to replace teeth 24 and 25. They show important endodontic and periodontal damage making the prognosis unfavourable.
The CBCT shows a good osseous volume which, despite the loss of a buccal bone plate, guided our therapeutic choice towards an extraction implantation option, associated with a guided bone regeneration and an immediate aesthetics.
This protocol can significantly reduce the number of operations and provides a much appreciated comfort to our patients.
