Cicatrizador personalizado sobre implante imediato: relato de caso.

Abstract

Oral rehabilitations with implants to replace missing teeth are already well studied and scientifically supported. Protocols looked forward to 6 to 12 months after dental coordination to place an implant in the same location. However, with the advancement of rehabilitation in dentistry, implants installed in just one breath, that is, right after ingestion, highly predictable procedures were achieved. However, tissue changes after tooth extractions make performing immediate implants a challenge, as their success depends, in addition to primary stability, on preserving the bone and gingival architecture, which ensures a natural and harmonious cervical contour. When it is possible to install an immediate implant, temporary crowns are generally not installed in order not to mechanically overload the implant during the osseointegration phase. These implants receive rays that, examined exposed or not, do not prevent the cervical mischaracterization of natural teeth. Personalized healing caps guarantee individualized healing, stabilizing the peri-implant tissues, mitigating post-extraction physiological remodeling and preserving the alveolar architecture. In this way, the future prosthetic rehabilitation will meet the functional and aesthetic requirements, achieving a result that, as far as possible, matches the anatomy of the natural tooth. The objective of this study is to report a clinical case, in which a personalized healing abutment was made on a prosthetic abutment with resin flow over an immediate implant in the region of tooth 36. Conclusion: the use of a prosthetic abutment and a personalized healing abutment proved to be a technique predictable success rate for several reasons, including optimization of treatment time and greater patient satisfaction.

Oral rehabilitations with implants to replace missing teeth are already well studied and scientifically supported. Protocols looked forward to 6 to 12 months after dental coordination to place an implant in the same location. However, with the advancement of rehabilitation in dentistry, implants installed in just one breath, that is, right after ingestion, highly predictable procedures were achieved. However, tissue changes after tooth extractions make performing immediate implants a challenge, as their success depends, in addition to primary stability, on preserving the bone and gingival architecture, which ensures a natural and harmonious cervical contour. When it is possible to install an immediate implant, temporary crowns are generally not installed in order not to mechanically overload the implant during the osseointegration phase. These implants receive rays that, examined exposed or not, do not prevent the cervical mischaracterization of natural teeth. Personalized healing caps guarantee individualized healing, stabilizing the peri-implant tissues, mitigating post-extraction physiological remodeling and preserving the alveolar architecture. In this way, the future prosthetic rehabilitation will meet the functional and aesthetic requirements, achieving a result that, as far as possible, matches the anatomy of the natural tooth. The objective of this study is to report a clinical case, in which a personalized healing abutment was made on a prosthetic abutment with resin flow over an immediate implant in the region of tooth 36. Conclusion: the use of a prosthetic abutment and a personalized healing abutment proved to be a technique predictable success rate for several reasons, including optimization of treatment time and greater patient satisfaction.