Preservação Tecidual Peri-Implantar em Implante Imediato Posterior com Cicatrizador Personalizado: Relato de Caso / PERI-IMPLANT TISSUE PRESERVATION IN IMMEDIATE POSTERIOR IMPLANT PLACEMENT WITH CUSTOMIZED HEALING ABUTMENT: CLINICAL CASE REPORT

ABSTRACT

The maintenance of natural dentition under optimal function, health and aesthetics conditions is the main objective of dental treatments, but when therapeutic possibilities are exhausted, dental extractions become necessary. Bone remodeling due to post-extraction alveolar healing may result in volume changes in the region. This topic is common in renowned dentistry scientific publications and several researchers recommend tissue regenerative procedures and seek solutions minimize volume reduction. Among these procedures, the immediate installation of implants in post- extraction sockets without flap elevation is an alternative that guarantees functional and aesthetic benefits in the final result of the rehabilitation. This paper presents a clinical case that shows a practical and viable alternative therapy for adequate alveolar healing. In this clinical case, the use of immediate implants and personalized healing abutments with flowable resin composite reduced alveolar healing remodeling and allowed the preservation of the gingival architecture and to obtain an ideal emergency profile for performing the permanent prosthesis supported by implant.