Overtreatment: an effective alternative in implant therapy on a single tooth with root resorption in patient with chronic periodontitis: a case report

Andre Luiz Oliveira Campos, Jamil Awad Shibli, Ronaldo Iurovschi, Sidney Eiji Watinaga

A 54 year-old Caucasian male attended the private clinic for dental treatment. On anamnesis, he appeared to be a systemically healthy patient; the clinical and radiographic examination showed resorption of the apical and middle thirds of the # 21 tooth root. The treatment option was to perform the extraction of the dental element and immediate implant with late loading using the patient’s own tooth as a provisional attached to adjacent teeth. The patient was made aware of the details of the pre, intra and post-operative phases, and authorized the treatment and photographic documentation for purposes of publication and dissemination. The use of a Periotome was required for atraumatic extraction. After atraumatic removal of the root and preserved remaining alveolar bone, it was chosen to perform an immediate implant placement (Neodent-Curitiba-PR, Brazil), of conical shape and morse taper fitting. The alveolar-implant space was filled with Bio-Oss®; a subepithelial connective tissue graft was removed from palate, rotated to the buccal side and alveolar obliteration was conducted – at this stage, it is important to ensure graft immobility for revascularization. Next, the crown of the extracted element was used as a provisional tooth establishing a pontic attached with composite resin to elements 11 and 22. Accordingly, after the step of using the provisional pontic rebased with composite resin, the confection of the final prosthetic crown started. After three years of follow-up, it was concluded that the combination of techniques had predictable and satisfactory aesthetic results for the prevention of peri-implantar health as planned.

Keywords: Dental Implantation. Biocompatible materials. Tissue transplantation. Gingival recession.

How to cite: Campos ALO, Shibli JA, Iurovschi R, Watinaga SE. Overtreatment: an effective alternative in implant therapy on a single tooth with root resorption in patient with chronic periodontitis: a case report. Dental Press Implantol. 2015 July-Sept;9(3):46-54. DOI: http://dx.doi.org/10.14436/2358-2553.9.3.046-054.oar

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