Naslov
Minimally invasive one-stage flapless technique with immediate non-functional loading after tooth avulsion

Autori
Gabrić Pandurić, Dragana ; Fiket, Iva ; Sušić, Mato ; Katanec, Davor ; Kobler, Pavel

Izvornik
Paediatria Croatica. Supplement (1330-724X) 53 (2009), Suppl 3; 43-44

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, prikaz, stručni

Ključne riječi
oral surgery ; dental implantology ; traumatology ; minimally invasive surgery

Sažetak
The current trend is to develop techniques that can provide function, esthetics, and comfort with a minimally invasive surgical approach. Implant placement using minimally invasive one-stage flapless technique has a potential to minimize crestal bone loss, soft tissue inflamation and recession, duration of surgical time, and postoperative patient discomfort. The flapless technique is usually considered in conjunction with single-stage implant placement, which means implant coronal portion protrudes through soft tissue and second surgical exposure is not necesarry. One-stage surgical technique in maxillary anterior region is usually considered in conjunction with functional or non-functional immediate implant loading. Immediate loading of dental implants shortens the treatment time and gives the patient an esthetics appearance during the whole treatment period. In this report, a clinical case of using one-stage flapless technique for maxillary right central incisor replacement with immediate non-functional loading is presented. A patient was a 23-year-old male patient with a clinical state after avulsion of the right central incisor. All clinical conditions for flapless approach were satisfied: bone quality within type I and II, adequate bone width and height, at least 5mm keratinized soft tissue in the place of future implant site, the presence of adjacent teeth that can absorb the occlusal forces and protect the implant from function, and ability to completely stabilize the implant at the time of placement. Bone caliper was used before using the tissue punch to measure buccal-lingual dimension of the alveolar ridge. Location of the future implant was determined on the basis of slice orthopantomogram x-rays and surgical drill fuide was made to precise definition of implant site and angulation. The implant diameter was chosen using the x-ray template, with a distance of 2 mm to the adjacent teeth. Osteotomy was created to accommodate a 3.8x11mm tapered, roughened-surface implant. The implant was inserted 3mm under the gingiva level to place the abutment platform exactly at the height of the original alveolar bone. The implant was immediately restored with final zirconium oxide ceramic abutment and temporary acrilic crown without any occlusal contacts. After a healing period of 6 months, the osseointegration was assessed with Periotest and considered adequate. The implant was then treated with the final fixed prosthetic restoration, an all ceramic zirconium oxide crown. The patient had exhibited neither clinical nor radiologic complications throughout the 6 months period of monitoring after functional loading.

Izvorni jezik
Engleski

Znanstvena područja
Dentalna medicina

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