Immediate implant placement with immediate provisionalization to tissue stability postextraction – case report

Vol. 12 – Number 47 – 2021 IMPLANT DENTISTRY NOTEBOOK Case report Page 30-37 Immediate implant placement with immediate provisionalization to tissue stability postextraction – case report Ísis de Fátima Balderrama¹ Ana Carolina Monachini Marcantonio¹ Fernanda Castanheira Gonçalves¹ José Rodolfo Spin¹ Elcio Marcantonio Júnior¹ Abstract The aim of this article is to present a clinical case report where a female patient, 62 years old, presented with element 14 poorly positioned and mobility. The initial planning was immediate implantation with immediate provisionalization. The case described was carried out with a minimally invasive extraction, implant placement of the 3.75 x 11.5 mm (Helix, GrandMorse, Acqua, Neodent®, Brazil), immediate loading with a universal healing abutment (3.3 x 2.5 mm, Neodent®, Brazil) and a provisional cylinder of the universal healing abutment click (3.3 x 6.0 mm, Neodent®, Brasil) to approach of capture from a denture teeth and thus, the cementation of provisional implant crown. For modification of the gingival area, a subepithelial connective tissue graft was performed through the tunneling technique to improve peri-implant tissue conditioning. A 6-month postoperative follow-up was performed, showing satisfactory clinical and radiographic conditions during the most important phase of healing, and finally, a final follow-up of 12 months with the definitive cemented prosthesis. According to the literature and clinical experience, rehabilitation with immediate implant placement is one of the most challenging procedures when associated with immediate loading, where many criteria must be evaluated before the surgical phase, it means, and excellent initial planning. Descriptors: Dental implants, tooth extraction, esthetics dental. ¹ UNESP. DOI: 10.24077/2021;12473037