Atraumatic Extraction of an Anterior Tooth with Immediate Implant Placement and Provisional Restoration: A Case Report
Mariana Botelho Leite
Department of Dentistry, Federal University of Jequitinhonha and Mucuri Valleys, Brazil.
Kaio Henrique Soares *
Department of Dentistry, Federal University of Jequitinhonha and Mucuri Valleys, Brazil.
Gabriel Botelho Leite
Sao Leopoldo Mandic Belo Horizonte, Brazil.
Paulo Antônio Martins Junior
Department of Pediatric and Adolescent Oral Health, Federal University of Minas Gerais, Brazil.
Carlos Roberto Garcia Araújo
Faculty of the Central West Paulista – FACOP, Brazil.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Implant dentistry focuses on restoring lost teeth by achieving both function and aesthetics through fixed prostheses. Rehabilitating the anterior maxilla presents a significant challenge due to high aesthetic demands. Advancements in techniques have demonstrated greater success when atraumatic extraction, immediate implant placement, bone grafting, and provisional restoration are performed simultaneously.
Objective: To present a clinical case involving the atraumatic extraction of tooth 21, immediate implant placement, xenografting, and a screw-retained provisional restoration.
Case Report: Atraumatic extraction was performed while preserving the alveolar framework. The implant was placed in the palatal bone remnant with minimal primary stability, enabling the fabrication of a screw-retained provisional restoration. The alveolar gap was filled with bovine xenograft. The provisional restoration remained in infraocclusion for six months, during which follow-up imaging confirmed successful vertical and horizontal bone preservation. Additionally, the gingival framework was maintained, achieving an optimal emergence profile.
Conclusion: This case adhered to contemporary best practices, allowing for alveolar framework preservation and a satisfactory outcome without the need for connective tissue grafting.
Keywords: Tooth extraction, bone graft, dental implant, implant-supported dental prosthesis, bone regeneration