Peri-implant complex preservation in immediate dental implant placement with internal hexagonal connection
Published in the Odous Científica.
Authors:
Bernotti Ana Luisa 1), Miselli Alberto 2), Giménez Xiomara 3), Lugo Gredy 4)
(1) Especialista en Periodoncia e implantes, Estudiante del Doctorado en Odontología. Universidad Central de Venezuela. Distrito Capital, Venezuela.
(2) Odontólogo. Especialista en Implantología.
(3) Doctora en Odontología. Directora de la Comisión de Estudios de Postgrado. Facultad de. Odontología. Universidad Central de Venezuela. Distrito Capital, Venezuela.
(4) Especialista en Periodoncia, Doctora en Innovaciones Educativas, Coordinadora del Doctorado en Odontología. Facultad de Odontología, Universidad Central de Venezuela. Distrito Capital, Venezuela
Summary:
The development of therapies aimed at obtaining optimal results in implant dentistry requires a thorough understanding of the biological processes underlying the dimensional alterations of the hard and soft tissues that occur after tooth extraction, as well as the surgical techniques employed and the interaction of the implant surfaces or their prosthetic components with the surrounding tissues.
The aim of this study:
is to describe the factors that influence the preservation of the peri-implant complex, based on a case report. The root remnants of a lower right first molar were extracted without flap elevation, and an immediate subcrestal implant with an internal hexagonal connection was placed at a distance of 4 mm apical to the mucosal zenith. In the same surgical act, an individualized emergence profile conformer was screwed, and impregnated with a slow-release oxygen gel (Blue®m), outlining the contour of the tissues and sealing the alveolar osseous defect.
At 4 months, the implant was rehabilitated with a screwed-cemented zirconia crown. Controls were carried out for 24 months. From this case, it was determined that the factors that influence the preservation of the peri-implant complex are: the control of dimensional alterations during the healing processes, the adequate manipulation of tissues and the selection/location of the implant-supported prosthesis adjusted to an ideal local geometry, which allows successful implant-tissue interaction.