The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
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Immediate implant placement and provisionalization of single implant in the esthetic region : Cases report

심미적 영역에서 즉시 임플란트 식립 및 임시 수복을 통한 단일치의 수복에 대한 증례 보고

  • Lee, Song-Bea (Department of Periodontology, National Health Insurance Service Ilsan Hospital) ;
  • Park, Yu-Seon (Department of Periodontology, National Health Insurance Service Ilsan Hospital) ;
  • Kim, Byoung-Heon (Department of Periodontology, National Health Insurance Service Ilsan Hospital) ;
  • Lee, Bo-Ah (Department of Periodontology, National Health Insurance Service Ilsan Hospital) ;
  • Choi, Seong-Ho (Department of Periodontology, College of Dentistry, Yonsei University) ;
  • Kim, Young-Taek (Department of Periodontology, National Health Insurance Service Ilsan Hospital)
  • 이성배 (국민건강보험공단 일산병원 치주과) ;
  • 박유선 (국민건강보험공단 일산병원 치주과) ;
  • 김병헌 (국민건강보험공단 일산병원 치주과) ;
  • 이보아 (국민건강보험공단 일산병원 치주과) ;
  • 최성호 (연세대학교 치과대학 치주과학교실) ;
  • 김영택 (국민건강보험공단 일산병원 치주과)
  • Received : 2019.11.01
  • Accepted : 2019.12.27
  • Published : 2020.01.31
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Abstract

In the anterior maxillary area, dental implants for tooth replacement are challenging due to the need to satisfy high esthetic level as well as functionality. Immediate implant placement and provisionalization can dramatically reduce the edentulous period, and then fulfill patient's demand for esthetics. The aim of present case report is to demonstrate two cases that successfully restored single tooth with immediate implant placement and provisionalization in the anterior maxillary area. A 47 years old female was scheduled to replace her maxillary right central incisor due to crown-root fracture by trauma. Another 54-year-old female was planned to place dental implant following tooth extraction of maxillary right lateral incisor owing to continuous pus discharge despite repetitive treatments including apicoectomy. In these two cases, surgical and prosthetic procedures progressed in a similar way. After minimal flap elevation, atraumatic tooth extraction was performed. Implant was placed in proper 3-dimensional position and angulation with primary stability. Bone graft or guided bone regeneration for peri-implant bone defect was conducted simultaneously. Provisionalization without occlusal loading was carried out at the same day. Each definitive crown was delivered at 7 and 5 months after the surgery. Two cases have been followed uneventfully for 2 to 5 years of loading time. In conclusion, Immediate implant placement and provisionalization could lead to esthetic outcome for single tooth replacement with dental implant under proper case selection.

Keywords

References

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