Cesar Luchetti
Department of Implant Dentistry. National University of La Plata. Argentina
We are presenting a case of immediate implant placement in an upper incisor. Twenty years old patient came to us presenting mobility of the upper right central incisor with compromised esthetics. He has an antecedent of exfoliation and re-implantation during his childhood due to a bike accident. X-rays showed root resorption. We decide the extraction followed by an immediate implant placement.
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Pre-operatory situation. |
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The tooth is extracted and the root resorption is visualized. The bone presents loss of the buccal wall. |
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An osteotome preparation is performed in order to expand the bone and then the implant is placed. |
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A small autogenous bone graft is placed in the buccal side. |
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Suture. Coronal repositioned flap is used to compensate the soft tissue deficiency present at pre-operative stage |
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After two months, 2nd stage surgery is performed together with a micro-polishing of the gum’s surface to improve the future esthetics. |
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After seven days the tissue is healed and the abutment is placed. |
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| Definitive porcelain crown, together with a small angle reconstruction with composite of the adjacent central incisor. |
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Pre and post comparison. The management and improvement of the tissues contour, both hard and soft, played a major role in the esthetic obtained. |
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