Vol. 10 – Number 40 – 2019 IMPLANT DENTISTRY NOTEBOOK Case report / Case report Page 52-60 Anterior dental rehabilitation through slow orthodontic extrusion and implant installation with immediate provisioning – case report Adailton de Morais Cavalcante1 Francisco Fernandes Nogueira Neto2 Ailton de Morais Cavalcanti3 Flávio Marcel Pereira Barreiro4 Summary The removal of a dental element results in alveolar bone resorption as a consequence of the natural repair process, especially in the anterior region. This resorption can limit or even compromise the aesthetic and functional rehabilitation of the missing tooth. Given the predictability of post-extraction changes, the rehabilitation modality has been increasingly considered at the same time as the removal of the affected tooth. In specific cases of gingival recession and buccal bone loss, in the presence of the remaining root, orthodontics plays a key role in the adequacy of tissues in the affected region, as it allows changing the position of the alveolar bone and gingival margin, increasing the aesthetic potential of the case. The objective of this study was to demonstrate the clinical stages of a case of slow orthodontic extrusion with the objective of bone neoformation in the apical region and coronal repositioning of bone and gingival tissues for the installation of an implant immediately after extraction, followed by the placement of an immediate provisional crown. Keywords: Orthodontic extrusion, dental implant, dental prosthesis. Abstract Removal of a dental element results in alveolar bone resorption as a consequence of the natural repair process, especially in anterior region. This resorption may limit or even compromise the aesthetic and functional rehabilitation of the lost tooth. In view of the predictability of changes in post-extraction, the rehabilitation modality has been increasingly considered at the same time as the removal of the involved tooth. In specific cases of gingival recession and buccal bone loss, in the presence of remaining root, orthodontics plays a fundamental role in the adequacy of the tissues of the affected region, since it allows altering the position of the alveolar bone and gingival margin, increasing the aesthetic potential of the case. The objective of this study was to demonstrate the clinical stages of a slow orthodontic extrusion with the objective of bone neoformation in the apical region and coronal repositioning of the bone and gingival tissues to implant the implant immediately after the extraction, followed by the placement of an immediate provisional crown. Descriptors: Orthodontic extrusion, dental implant, dental prosthesis. 1 Master’s student at Clínica Odontológica – UNIFOR – Fortaleza/CE, Esp. em Implantodontia – FIP, CD. Implant dentistry. 2 CD – UFPB, Specialist in Oral and Maxillofacial Surgery and Traumatology – CFO, Me. and Dr. in Oral and Maxillofacial Surgery and Traumatology – UNICAMP. 3 Me. in Radiology – SL Mandic – Campinas/SP, Sp. in Implant Dentistry – Faculdade Sarandi/PR, CD. Implant dentistry. 4 Me. in Implant Dentistry – SL Mandic – Campinas/SP, Sp. in Implant Dentistry – Ciodonto – Sete Lagos/MG, Professor of Clinical Surgery Discipline – FIP. 5 Me.em Clínica Integrada – UNP, Esp. em Implantodontia – Sindodonto/PB, CD. Implant Dentistry.
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