Immediate Dentoalveolar Restoration of compromised sockets: a novel technique.

Eur J Esthet Dent

Sao Paulo Association of Dental Surgeons, Bauru, Sao Paulo, Brazil.

Published: September 2013

AI Article Synopsis

  • The paper outlines the Immediate Dentoalveolar Restoration (IDR) technique, which uses the patient's own bone grafts to repair bone defects around dental implants.
  • The case involved a patient with a severely damaged central incisor, where a flapless surgery approach was used to place an implant and graft harvested from the maxillary tuberosity.
  • After 36 months of monitoring, the treatment showed promising aesthetic outcomes with reduced costs and shorter treatment duration.

Article Abstract

Purpose: The aim of this paper is to describe a protocol for a one-stage technique called Immediate Dentoalveolar Restoration (IDR), which uses autogenous bone grafts to restore peri-implant bone defects, presenting the results of mid-term follow-up.

Summary: The patient presented a left central incisor that was compromised and with a total loss of buccal bone wall. The proposed treatment followed a protocol of immediate implantation, with a flapless surgery, using corticocancellous bone graft harvested from the maxillary tuberosity to restore the bone defect in question. The graft was shaped to the defect size and inserted between the implant and the remaining buccal soft tissue. The provisional restoration was made at the same time. The patient was followed for 36 months. The results were analyzed by means of clinical assessment, photography, periapical radiography and cone beam computed tomography.

Conclusion: The treatment described appears to afford satisfactory esthetic results, with lower overall costs and treatment time.

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