Postextraction implant in aesthetic anterior area using the “one abutment–one time” protocol

This case report presents the resolution of a common clinical situation through the installation of a post-extraction implant with the one abutment-one time protocol due to a root fracture at the cervical level of tooth #21. Materials and Methods: A 3.5 x 13 mm conical connection implant was installed using a palatal approach; concomitantly a bone xenograft was performed in the gap between the implant and the vestibular bone wall, as well as a sub epithelial connective tissue graft with the envelope technique to improve the gingival phenotype, and the fabrication of an immediate provisional tooth. Following the principle of late loading, after 6 months, the implant was rehabilitated with a definitive metal-porcelain crown. Conclusions: with the limitations of the case, it was found that this technique is safe in the medium term; it offers the advantage of resolving this type of case in a single surgical appointment, maintaining the gingival architecture and bone crestal levels.

• Glavni avtor: Herrera Robayo, Marcelo (author)
• Drugi avtorji: Sánchez Puetate, Julio César (author)
• Format: article
• Jezik: spa
• Izdano: 2022
• Teme: Implantes Dentales; Tejido Conectivo; Restauración Dental Provisional; Dental implant; connective tissue; Provisional Dental Restoration; Post extraction
• Online dostop: https://revistadigital.uce.edu.ec/index.php/odontologia/article/view/3928