Extraction, Immediate implant placement and loading in the maxilla incisor sector. Management of a fenestration with guided bone regeneration (GBR).
Authors: Ons Zouiten, Hadi Antoun
Immediate extraction implantation is a technique which has been used and approved with a clinical track record. Loading immediately after the implant is put in place is provided by a provisional crown. In the anterior sector, this approach has several advantages: on one hand, it provides the patient with significant aesthetic comfort and psychological ease, and on the other hand, on a morphological level, it helps to control the peri-implant mucosa healing process and maturation by preparing the site for pleasant and stable aesthetic outcomes over time.
In this clinical case, the stages of replacement of a central incisor presenting inflamed periradicular lesions of endodontic origin and bone fenestration (vestibular) will be described. The stages of extraction and immediate implantation associated with guided bone regeneration, connective tissue grafts and the placement of a immediate provisional crown have also been extensively described.
Key words: Extraction, Immediate implant placement, Immediate temporisation, Implant