Rehabilitación Implanto-Protética de Incisivos Centrales Superiores con Carga Inmediata.
Caso Clínico.
Palabras clave:
implante dental, fractura dentaria, traumatismo dental, provisionalización inmediata, implantes adyacentesResumen
La rehabilitación de los incisivos centrales superiores, mediante el uso de implantes oseointegrados, es un tratamiento sumamente desafiante y demandante para el clínico, debido a las decisiones que deben ser tenidas en cuenta a la hora de realizar los procedimientos inherentes al mismo. Estas decisiones se encuentran relacionadas, tanto con el momento adecuado para realizar las extracciones dentarias, como con el número, tamaño y diseño de los implantes a colocar y su posición ideal, la necesidad de realizar tratamientos complementarios como técnicas de regeneración ósea guiada y/o uso de injertos de tejido blando y la selección de los componentes protéticos, restauraciones provisionales y definitivas. El tratamiento implanto-protético del sector anterosuperior, en pacientes jóvenes con pérdida de los incisivos centrales superiores por traumatismo, implica realizar un correcto diagnóstico y un tratamiento multidisciplinario en base a un adecuado plan y secuencia de pasos, sumado a una ejecución técnica precisa para lograr el éxito del mismo. El objetivo de este trabajo es presentar la resolución de un caso clínico mediante un tratamiento odontológico integral de una paciente que, a temprana edad, sufrió un traumatismo dentario y fracturó sus incisivos centrales.
Citas
Abrahamsson I, Berglundh T y Lindhe J. (1997). The mucosal barrier following abutment dis/reconnection. An experimental study in dogs. J Clin Periodontol, 24(8), 568–572. https://doi.org/10.1111/j.1600-051x.1997.tb00230.x
Abrahamsson I y Berglundh T. (2009) Effects of different implant surfaces and designs on marginal bone-level alterations: a review. Clin Oral Implants Res, 20 Suppl 4, 207–215. https://doi.org/10.1111/j.1600-0501.2009.01783.x
Agar JR, Cameron SM, Hughbanks JC y Parker MH. (1997). Cement removal from restorations luted to titanium abutments with simulated subgingival margins. J Prosthet Dent, 78(1), 43–47. https://doi.org/10.1016/s0022-3913(97)70086-6
Albrektsson T, Zarb G, Worthington P y Eriksson AR. (1986). The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants, 1(1), 11–25.
Araújo MG y Lindhe J. (2005). Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol, 32(2), 212–218. https://doi.org/10.1111/j.1600-051X.2005.00642.x
Atwood DA. (2001). Some clinical factors related to rate of resorption of residual ridges. 1962. J Prosthet Dent, 86(2), 119–125. https://doi.org/10.1067/mpr.2001.117609
Belser UC, Grütter L, Vailati F, Bornstein MM, Weber HP y Buser D. (2009). Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: a crosssectional, retrospective study in 45 patients with a 2- to 4-year follow-up using pink and white esthetic scores. J Periodontol, 80(1), 140–151. https://doi.org/10.1902/jop.2009.080435
Berglundh T y Lindhe J. (1996). Dimension of the periimplant mucosa. Biological width revisited. J Clin Periodontol, 23(10), 971–973. https://doi.org/10.1111/j.1600-051x.1996.tb00520.x
Brahim JS. (2005). Dental implants in children. Oral Maxillofac Surg Clin North Am, 17(4), 375–381. https://doi.org/10.1016/j.coms.2005.06.003
Chappuis V, Araújo MG y Buser D. (2017). Clinical relevance of dimensional bone and soft tissue alterations post-extraction in esthetic sites. Periodontol 2000, 73(1), 73–83. https://doi.org/10.1111/prd.12167
De Rouck T, Collys K, Wyn I y Cosyn J. (2009). Instant provisionalization of immediate single-tooth implants is essential to optimize esthetic treatment outcome. Clin Oral Implants Res, 20(6), 566–570. https://doi.org/10.1111/j.1600-0501.2008.01674.x
Fickl S, Schneider D, Zuhr O, Hinze M, Ender A, Jung RE y Hürzeler MB. (2009). Dimensional changes of the ridge contour after socket preservation and buccal overbuilding: an animal study. J Clin Periodontol, 36(5), 442–448. https://doi.org/10.1111/j.1600-051X.2009.01381.x
Fürhauser R, Florescu D, Benesch T, Haas R, Mailath G y Watzek G. (2005). Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score. Clin Oral Implants Res, 16(6), 639–644. https://doi.org/10.1111/j.1600-0501.2005.01193.x
Gamborena I, Sasaki Y y Blatz MB. (2017). The “slim concept” for ideal peri-implant soft tissues. En Duarte S Jr, ed. Quintessence of Dental Technology 2017 (pp 26–40). Quintessence Publishing.
Gamborena I, Sasaki Y y Blatz MB. (2018). The slim concept—clinical steps to ultimate success. En Duarte S Jr, ed. Quintessence of Dental Technology 2018 (pp 2–15). Quintessence Publishing.
Grunder U. (2000). Stability of the mucosal topography around single-tooth implants and adjacent teeth: 1-year results. Int J Periodontics Restorative Dent, 20(1), 11–17.
Jemt T. (1997). Regeneration of gingival papillae after single-implant treatment. Int J Periodontics Restorative Dent, 17(4), 326–333.
Kan JY, Rungcharassaeng K y Lozada J. (2003). Immediate placement and provisionalization of maxillary anterior single implants: 1-year prospective study. Int J Oral Maxillofac Implants, 18(1), 31–39.
Laurell L y Lundgren D. (2011). Marginal bone level changes at dental implants after 5 years in function: a meta-analysis. Clin Implant Dent Relat Res, 13(1), 19–28. https://doi.org/10.1111/j.1708-8208.2009.00182.x
Linkevicius T, Apse P, Grybauskas S y Puisys A. (2009). Reaction of crestal bone around implants depending on mucosal tissue thickness. A 1-year prospective clinical study. Stomatologija, 11(3), 83–91.
Linkevicius T, Puisys A, Vindasiute E, Linkeviciene L y Apse P. (2013). Does residual cement around implantsupported restorations cause peri-implant disease? A retrospective case analysis. Clin Oral Implants Res, 24(11), 1179–1184. https://doi.org/10.1111/j.1600-0501.2012.02570.x
Mankani N, Chowdhary R, Patil BA, Nagaraj E y Madalli P. (2014). Osseointegrated dental implants in growing children: a literature review. J Oral Implantol, 40(5), 627–631. https://doi.org/10.1563/AAIDJOI-D-11-00186
Molina A, Sanz-Sánchez I, Martín C, Blanco J y Sanz M. (2017). The effect of one-time abutment placement on interproximal bone levels and peri-implant soft tissues: a prospective randomized clinical trial. Clin Oral Implants Res, 28(4), 443–452. https://doi.org/10.1111/clr.12818
Puisys A y Linkevicius T. (2015). The influence of mucosal tissue thickening on crestal bone stability around bone-level implants. A prospective controlled clinical trial. Clin Oral Implants Res, 26(2), 123–129. https://doi.org/10.1111/clr.12301
Ramanauskaite A, Roccuzzo A y Schwarz F. (2018). A systematic review on the influence of the horizontal distance between two adjacent implants inserted in the anterior maxilla on the inter-implant mucosa fill. Clin Oral Implants Res, 29 Suppl 15, 62–70. https://doi.org/10.1111/clr.13103
Sammartino G, Marenzi G, di Lauro AE y Paolantoni G. (2007). Aesthetics in oral implantology: biological, clinical, surgical, and prosthetic aspects. Implant Dent, 16(1), 54–65. https://doi.org/10.1097/ID.0b013e3180327821
Schnitman PA y Shulman LB. (1979). Recommendations of the consensus development conference on dental implants. J Am Dent Assoc, 98(3), 373–377. https://doi.org/10.14219/jada.archive.1979.0052
Schropp L, Kostopoulos L y Wenzel A. (2003). Bone healing following immediate versus delayed placement of titanium implants into extraction sockets: a prospective clinical study. Int J Oral Maxillofac Implants, 18(2), 189–199.
Schwarz F, Hegewald A, Becker J. (2014). Impact of implant-abutment connection and positioning of the machined collar/microgap on crestal bone level changes: a systematic review. Clin Oral Implants Res, 25(4), 417–425. https://doi.org/10.1111/clr.12215
Slagter KW, den Hartog L, Bakker NA, Vissink A, Meijer HJ y Raghoebar GM. (2014). Immediate placement of dental implants in the esthetic zone: a systematic review and pooled analysis. J Periodontol, 85(7), e241– e250. https://doi.org/10.1902/jop.2014.130632
Smith DE y Zarb GA. (1989). Criteria for success of osseointegrated endosseous implants. J Prosthet Dent, 62(5), 567–572. https://doi.org/10.1016/0022-3913(89)90081-4
Tallgren A. (2003). The continuing reduction of the residual alveolar ridges in complete denture wearers: a mixed-longitudinal study covering 25 years. 1972. J Prosthet Dent, 89(5), 427–435. https://doi.org/10.1016/s0022-3913(03)00158-6
Tan WL, Wong TL, Wong MC y Lang NP. (2012). A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans. Clin Oral Implants Res, 23 Suppl 5, 1–21. https://doi.org/10.1111/j.1600-0501.2011.02375.x
Testori T, Weinstein T, Scutellà F, Wang HL y Zucchelli G. (2018). Implant placement in the esthetic area: criteria for positioning single and multiple implants. Periodontol 2000, 77(1), 176–196. https://doi.org/10.1111/prd.12211
van Eekeren P, van Elsas P, Tahmaseb A y Wismeijer D. (2017). The influence of initial mucosal thickness on crestal bone change in similar macrogeometrical implants: a prospective randomized clinical trial. Clin Oral Implants Res, 28(2), 214–218. https://doi.org/10.1111/clr.12784
Vigolo P, Mutinelli S, Givani A y Stellini E. (2012). Cemented versus screw-retained implant-supported single-tooth crowns: a 10-year randomised controlled trial. Eur J Oral Implantol, 5(4), 355–364.
Wagenberg B y Froum SJ. (2006). A retrospective study of 1925 consecutively placed immediate implants from 1988 to 2004. Int J Oral Maxillofac Implants, 21(1), 71–80.
Wilson TG Jr. (2009). The positive relationship between excess cement and peri-implant disease: a prospective clinical endoscopic study. J Periodontol, 80(9), 1388–1392. https://doi.org/10.1902/jop.2009.090115
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