RESUMO
O tratamento para substituição de dentes utilizando-se implantes osseointegrados tem sido utilizado de maneira eficaz para resolução de casos que envolvem espaços edêntulos unitários em áreas estéticas. A busca por restaurações estéticas deve promover uma transição harmoniosa entre a restauração e o tecido periimplantar, e isso pode ser alcançado por meio de um planejamento cirúrgico e protético criterioso e integrado, permitindo maior previsibilidade no contorno gengival de uma restauração sobre implante em área estética. Este artigo apresenta um caso clínico de restauração sobre implante osseointegrado em um incisivo central superior, por se tratar de opção de tratamento conservadora, proporcionando, de maneira eficaz, resultados para obtenção do sucesso reabilitador estético, funcional e biológico.
Replacing lost teeth using osseointegrated implants is effective to solve cases involving single-unit edentulous spaces in esthetic areas. Esthetic restorations should produce a harmonious transition between the restoration and peri-implant tissues. This can be obtained by a thoughtful, comprehensive surgical and prosthetic planning, allowing greater predictability to the gingival contour of the implant-supported restoration in the esthetic area. This article presents a case report of a single-unit implant-supported restoration in a maxillary central incisor. This treatment was chosen because it is a conservative treatment option that effectively produces successful esthetic, functional and biological results.
Assuntos
Humanos , Feminino , Implantação Dentária Endóssea , Implantes Dentários para Um Único Dente , Estética DentáriaRESUMO
BACKGROUND: The vascularity of the peri-implant tissue is a very important parameter in establishment and maintenance of a healthy tissue after dental implant insertion. OBJECTIVE: The purpose of this study was to compare the vascularity of the peri-implant mucosa between flap and flapless implant surgeries by using a canine mandible model. STUDY DESIGN: In six mongrel dogs, bilateral, edentulated, flat alveolar ridges were created in the mandible. After 3 months of healing, two implants were placed in each side by either the flap or flapless procedures. After another healing period of 3 months, biopsies were obtained, prepared for light microscopy and exposed to morphometric measurements. RESULTS: The supracrestal connective tissue lateral to the implant was found to be more richly vascularized in the flapless group than in the flap group. CONCLUSION: These results suggest that the flapless procedure may have an effect on increasing the vascularity of the peri-implant mucosa.