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Stomatologija 2023; 25 (2): 55-60 136 KB

Twenty eight months marginal bone level follow-up of an immediate post-extractive implant with immediate definitive loading

Graziano Montaruli¹, Alberto Dedola¹, Khrystyna Zhurakivska¹, Michele Laurenziello¹, Michele Tepedino², Renato Celletti³, Maurizio D'Amario², Giuseppe Troiano¹

Summary

Objective. The aim of this case report was to show the marginal bone level (MBL) variation, after 28 months, around an aesthetic post-extraction implant immediate loading positioned in a 46-years-old woman.

Material and methods. After a careful evaluation of the X-rays and CBCT images, a 4×13 conical implant was placed in seat 21 after the atraumatic extraction of the fractured element and the management of the infected area.

Correct primary stability (torque 70 Ncm) was obtained by inserting the implant in a palatal position with respect to the alveolus.

To complete the surgery, regeneration procedures were carried out using a granular bone substitute (Geistlich Bio-Oss®) covered with a connective tissue graft taken from the palate. Just three days later, a straight titanium abutment Curvomax™ with gold tite (UNIHG) was screwed (35 Ncm) and a lithium disilicate glass ceramic crown was cemented.

Results. The radiographic analysis of the MBL at 28 months of follow-up shows a significant stability of the peri-implant bone confirmed by an excellent aesthetic integration of the soft tissues around the prosthetic crown.

Conclusions. A careful and dedicated surgical planning accompanied by the use of appropriate materials and an accurate surgical protocol, seems to allow the rehabilitation of frontal areas that is difficult to manage, obtaining excellent aesthetic, functional and predictable results over time. We believe that the goal, in this case, is also linked to the immediate delivery of the final crown which has significantly reduced operating times and improved aesthetic parameters, translating into better patient satisfaction.

Key words: aesthetics, immediate loading, post-extraction implant.

Received: 12 11 2020

Accepted for publishing: 23 06 2023

¹Department of Clinical and Experimental Medicine, School of Dentistry, University of Foggia, Italy

²Department of life, Health and Envirormental Sciences,University of L’Aquila, Italy

³Department of Medical Oral and Biotechnological Sciences, University G. d’Annunzio Chieti, Pescara, Italy

Address correspondence to Alberto Dedola, Department of Clinical and Experimental Medicine, School of Dentistry, University of Foggia, Via Luigi Rovelli n° 50, 71122 Foggia (FG), Italy.

E-mail address: alberto.dedola@unifg.it



	Baltic Dental and Maxillofacial Journal

2023, Vol. 25, No. 2 CONTENTS SCIENTIFIC ARTICLE Evaluation of the effects of melatonin and vitamin D on wound healing in immunosuppressive rats following tooth extraction Dilber Celik, Hasan Ayberk Altug, Aydin Ozkan, Sibel Elif Gultekin, Metin Sencimen, Omer Orkun Cevizcioglu 31-37 REVIEW White spot lesions risk management prior and during the orthodontic treatment Ieva Gudeleviciute, Nerija Spaicyte, Indre Migoniene, Arunas Vasiliauskas 39-46 Emergence profile management in the esthetic zone Justina Gervyte, Zivile Zidonyte, Rita Trumpaite-Vanagiene, Tomas Linkevicius 47-54 CASE REPORT Twenty eight months marginal bone level follow-up of an immediate post-extractive implant with immediate definitive loading Graziano Montaruli, Alberto Dedola, Khrystyna Zhurakivska, Michele Laurenziello, Michele Tepedino, Renato Celletti, Giuseppe Troiano 55-60 © 2023 Stomatologija		Stomatologija 2023; 25 (2): 55-60 136 KB Twenty eight months marginal bone level follow-up of an immediate post-extractive implant with immediate definitive loading Graziano Montaruli¹, Alberto Dedola¹, Khrystyna Zhurakivska¹, Michele Laurenziello¹, Michele Tepedino², Renato Celletti³, Maurizio D'Amario², Giuseppe Troiano¹ Summary Objective. The aim of this case report was to show the marginal bone level (MBL) variation, after 28 months, around an aesthetic post-extraction implant immediate loading positioned in a 46-years-old woman. Material and methods. After a careful evaluation of the X-rays and CBCT images, a 4×13 conical implant was placed in seat 21 after the atraumatic extraction of the fractured element and the management of the infected area. Correct primary stability (torque 70 Ncm) was obtained by inserting the implant in a palatal position with respect to the alveolus. To complete the surgery, regeneration procedures were carried out using a granular bone substitute (Geistlich Bio-Oss®) covered with a connective tissue graft taken from the palate. Just three days later, a straight titanium abutment Curvomax™ with gold tite (UNIHG) was screwed (35 Ncm) and a lithium disilicate glass ceramic crown was cemented. Results. The radiographic analysis of the MBL at 28 months of follow-up shows a significant stability of the peri-implant bone confirmed by an excellent aesthetic integration of the soft tissues around the prosthetic crown. Conclusions. A careful and dedicated surgical planning accompanied by the use of appropriate materials and an accurate surgical protocol, seems to allow the rehabilitation of frontal areas that is difficult to manage, obtaining excellent aesthetic, functional and predictable results over time. We believe that the goal, in this case, is also linked to the immediate delivery of the final crown which has significantly reduced operating times and improved aesthetic parameters, translating into better patient satisfaction. Key words: aesthetics, immediate loading, post-extraction implant. Received: 12 11 2020 Accepted for publishing: 23 06 2023 ¹Department of Clinical and Experimental Medicine, School of Dentistry, University of Foggia, Italy ²Department of life, Health and Envirormental Sciences,University of L’Aquila, Italy ³Department of Medical Oral and Biotechnological Sciences, University G. d’Annunzio Chieti, Pescara, Italy Address correspondence to Alberto Dedola, Department of Clinical and Experimental Medicine, School of Dentistry, University of Foggia, Via Luigi Rovelli n° 50, 71122 Foggia (FG), Italy. E-mail address: alberto.dedola@unifg.it