Immediate Loaded Post Extraction Implant and Connective Graft-Guided Bone Regeneration: A Case Report
DOI:
https://doi.org/10.15517/ijds.2024.59182Keywords:
Case report; Dental implant; Graft-guided bone; Immediate loaded.Abstract
This case report describes the clinical and therapeutic approach used in a 32-year-old female patient with a tooth fracture in tooth 22. The patient, with no history of systemic disease, presented with a chronic periapical lesion and a cervical fracture in the affected tooth. Treatment included atraumatic extraction of the tooth, followed by placement of a 3.75 x 10mm post-extraction implant with immediate loading and guided bone regeneration. The minimally invasive surgical technique was employed using the Dentoflex® drilling sequence. The primary stability of the implant, measured in 37 Newtons of torque, allowed the placement of a prefabricated metal abutment for the subsequent cemented crown. Bone regeneration of the interimplant space was successfully performed, supplemented by connective grafting due to the patient's thin gingival phenotype. Postoperative follow-up, including controls at 7, 14 days and four months, showed a satisfactory conformation of the gingival margin and papillary tissue, consolidating the success of the treatment.
Downloads
References
Jayesh R.S., Dhinakarsamy V. Osseointegration. J Pharm Bioallied Sci. 2015; 7 (1): S226-9.
Ahamed M.S., Mundada B.P., Paul P., Reche A. Partial Extraction Therapy for Implant Placement: A Newer Approach in Implantology Practice. Cureus. 2022; 14 (11): e31414.
Cha H.S., Kim J.W., Hwang J.H., Ahn K.M. Frequency of bone graft in implant surgery. Maxillofac Plast Reconstr Surg. 2016; 38 (1): 19.
Zhao R., Yang R., Cooper P.R., Khurshid Z., Shavandi A., Ratnayake J. Bone Grafts and Substitutes in Dentistry: A Review of Current Trends and Developments. Molecules. 2021; 26 (10): 3007.
Haugen H.J., Lyngstadaas S.P., Rossi F., Perale G. Bone grafts: which is the ideal biomaterial? J Clin Periodontol. 2019; 46 Suppl 21: 92-102.
Girón J., Kerstner E., Medeiros T., Oliveira L., Machado G.M., Malfatti C.F., Pranke P. Biomaterials for bone regeneration: an orthopedic and dentistry overview. Braz J Med Biol Res. 2021; 54 (9): e11055.
Solakoglu Ö., Heydecke G., Amiri N., Anitua E. The use of plasma rich in growth factors (PRGF) in guided tissue regeneration and guided bone regeneration. A review of histological, immunohistochemical, histomorphometrical, radiological and clinical results in humans. Ann Anat. 2020; 231: 151528.
Kang M., Huang C.C., Lu Y., Shirazi S., Gajendrareddy P., Ravindran S., Cooper L.F. Bone regeneration is mediated by macrophage extracellular vesicles. Bone. 2020; 141: 115627.
Thoma D.S., Buranawat B., Hämmerle C.H., Held U., Jung R.E. Efficacy of soft tissue augmentation around dental implants and in partially edentulous areas: a systematic review. J Clin Periodontol. 2014; 41 Suppl 15: S77-91.
Roccuzzo M., Grasso G., Dalmasso P. Keratinized mucosa around implants in partially edentulous posterior mandible: 10-year results of a prospective comparative study. Clin Oral Implants Res. 2016 ; 27 (4): 491-6.
Thoma D.S., Naenni N., Figuero E., Hämmerle C.H.F., Schwarz F., Jung R.E., Sanz-Sánchez I. Effects of soft tissue augmentation procedures on peri-implant health or disease: A systematic review and meta-analysis. Clin Oral Implants Res. 2018; 29 Suppl 15: 32-49.
Buyukozdemir Askin S., Berker E., Akincibay H., Uysal S., Erman B., Tezcan İ., Karabulut E. Necessity of keratinized tissues for dental implants: a clinical, immunological, and radiographic study. Clin Implant Dent Relat Res. 2015; 17 (1): 1-12.
Tani C., Carli L., Vagnani S., Talarico R., Baldini C., Mosca M., Bombardieri S. The diagnosis and classification of mixed connective tissue disease. J Autoimmun. 2014; 48-49: 46-9.
Gunnarsson R., El-Hage F., Aaløkken T.M., Reiseter S., Lund M.B., Garen T.; Norwegian MCTD study group; Molberg Ø. Associations between anti-Ro52 antibodies and lung fibrosis in mixed connective tissue disease. Rheumatology (Oxford). 2016; 55 (1): 103-8.
Zucchelli G., Tavelli L., McGuire M.K., Rasperini G., Feinberg S.E., Wang H.L., Giannobile W.V. Autogenous soft tissue grafting for periodontal and peri-implant plastic surgical reconstruction. J Periodontol. 2020; 91 (1): 9-16.
de Resende D.R.B., Greghi S.L.A., Siqueira A.F., Benfatti C.A.M., Damante C.A., Ragghianti Zangrando M.S. Acellular dermal matrix allograft versus free gingival graft: a histological evaluation and split-mouth randomized clinical trial. Clin Oral Investig. 2019; 23 (2): 539-550.
Lim H.C., An S.C., Lee D.W. A retrospective comparison of three modalities for vestibuloplasty in the posterior mandible: apically positioned flap only vs. free gingival graft vs. collagen matrix. Clin Oral Investig. 2018; 22 (5): 2121-2128.
Published
Issue
Section
License
Copyright (c) 2024 Ivan Calderon, Daniel Alvitez-Temoche, Fran Espinoza-Carhuancho, Roman Mendoza, Franco Mauricio, Frank Mayta-Tovalino

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
ODOVTOS - Int. J. Dent. Sc. endorses CC BY-NC-SA
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. If you remix, adapt, or build upon the material, you must license the modified material under identical terms. CC BY-NC-SA includes the following elements:
BY: credit must be given to the creator.
NC: Only noncommercial uses of the work are permitted.
SA: Adaptations must be shared under the same terms.



