Minimally invasive extraction, immediate implant placement and aesthetic rehabilitation: Case report.

Abstract

Introduction: Bone remodeling following the tooth extraction can lead to bone defects and modifications in the gingival contour, compromising both  the aesthetics and functionality of the rehabilitated area. Consequently, the immediate placement of dental implants can be a strategic approach to prevent bone and soft tissue contour loss in the affected region. Early implant placement following extraction favors the preservation of bone anatomy and promotes faster aesthetic recovery, especially in anterior teeth, where aesthetics is a priority. Therefore, the aim of this study is to describe the steps of the rehabilitation process using immediate implants through a clinical case report, covering the procedure from tooth extraction to the placement of the implant-supported prosthesis. Case Report: Patient MJC, 60 years old, female, leucodermic, without comorbidities, underwent a minimally invasive extraction of the upper left lateral incisor (tooth 22), followed by the immediate placement of a dental implant and a provisional restoration. The procedure included techniques to minimize damage to adjacent structures and the use of a heterogeneous bone
graft to optimize bone and gingival contour. Conclusion: The immediate implant technique requires strict criteria for its indication, and when properly followed, it ensures excellent preservation of peri-implant tissues, adequate alveolar management, a satisfactory gingival contour around the prosthesis, and an ideal emergence profile, ultimately achieving optimal aesthetic and functional outcomes.