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.
