Digital immediate implantation and aesthetic immediate loading on maxillary incisor displaced due to root fracture: a case report
10.14368/jdras.2023.39.4.267
- Author:
Jieun SONG
1
;
Songyi PARK
;
Chan PARK
;
Kwidug YUN
;
Hyun-Pil LIM
;
Sangwon PARK
Author Information
1. Department of Prosthodontics, School of Dentistry, Chonnam National University, Gwangju, Republic of Korea
- Publication Type:Case Report
- From:Journal of Dental Rehabilitation and Applied Science
2023;39(4):267-275
- CountryRepublic of Korea
- Language:English
-
Abstract:
To obtain better esthetic results when immediately placing a dental implant, the soft tissue surrounding the implant must be conditioned during healing of the extraction socket. To this end, the emergence profile can be customized through immediate restoration of the provisional prosthesis, and good clinical results can be obtained at the time of definitive restoration in the future, resulting in high patient satisfaction. In this case, horizontal root fracture occurred after trauma to both maxillary central incisors.Immediate implant placement and loading was planned considering aesthetics and alveolar bone condition. By taking an impression using a digital intraoral scanner, a digital diagnostic wax-up was performed to make a more aesthetic prosthesis without applying external force to the traumatized teeth. Based on this, the ideal placement location was determined and immediate implant placement was performed using a 3D printed surgical guide. The provisional prosthesis was restored 5 days after placement, and the definitive zirconia crown was restored through soft tissue conditioning and customization using the shape of the provisional prosthesis for 3 months.