Virtual guided surgery for implant placement in anterior maxilla associated with bone and gingival reconstruction - case report

Abstract

Anterior maxilla rehabilitation through implant placement is still a major challenge in Dentistry. The objective of this study was to report the placement of an immediate guided implant in the region of the upper right central incisor (11), with the association of a connective graft and a personalized healing device. Patient AB presented to the dental clinic complaining of mobility of tooth 11. Clinical and radiographic analysis determined a root fracture. The patient underwent minimally invasive extraction of the tooth and subsequent placement of a guided implant. A strip of connective tissue was removed from the palate, which was adapted subepithelial in the buccal region through tunneling. The intra-alveolar gap was filled with bovine bone graft and protected with a customized healing device. After 60 days of follow-up, the healing result was satisfactory, determining a favorable prognosis for the future definitive rehabilitation