Management of an extensive soft tissue deficiency prior to immediate implant in the aesthetic zone: a 4-year follow-up.

Autor:	Villa-Campos O; Department of Stomatology, University of São Paulo, São Paulo, Brazil., Reis INRD; Department of Stomatology, University of São Paulo, São Paulo, Brazil bellaneme@yahoo.com.br., César-Neto JB; Department of Stomatology, University of São Paulo, São Paulo, Brazil., Romito GA; Department of Stomatology, University of São Paulo, São Paulo, Brazil.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2024 Jun 25; Vol. 17 (6). Date of Electronic Publication: 2024 Jun 25.
DOI:	10.1136/bcr-2023-259271
Abstrakt:	Soft tissue deficiency in a tooth extraction site in the aesthetic area is a common and challenging clinical situation. This case report demonstrates the successful treatment of extensive gingival recession and buccal bone dehiscence associated with a hopeless tooth. Initially, a connective tissue graft was used to cover the root and thicken the soft tissue. After 2 months, the tooth was extracted, an implant was immediately placed, and a temporary restoration was installed. After 3 months, the soft tissue exhibited a natural and harmonious architecture. A custom zirconia abutment and crown were then fabricated and placed. At the 4-year follow-up, the peri-implant tissue displayed satisfactory aesthetics, with a well-structured buccal bone plate and healthy peri-implant indicators. This two-stage approach, addressing gingival recession first and proceeding with immediate implant placement after soft tissue healing, proved to be a safe and effective method with stable long-term results. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu