Rehabilitation of Anterior Tooth Loss with Immediate Implant and Preservation of Gingival Aesthetics with Use of Vertical Extraction System and Customized Healing Abutment made by CAD-CAM Technology: Case Report



Objective: Patients with the need to perform anterior unit rehabilitation with dental implants provide a great aesthetic challenge to the dental surgeon. Both from the point of view of the dental crown and from the point of view of maintaining the gingival tissue its emergence profile.

Material and Method: This article will present a case report of rehabilitation with an immediate dental implant, using the technique of vertical extraction system, to promote the maximum maintenance of personalized gingival tissue, as well as the use of making a customized healing abutment over the implant and later provisional, both created with the CAD-CAM CEREC system.

Result: The patient assumed a Straumann dental implant immediately after the extraction of the tooth with the installation of a customized healing abutment and temporary crown, both in PMMA and design with the use of the CADCAM CEREC system.

Conclusion: The dental extraction of the compromised tooth using an atraumatic technique and the immediate installation of a dental implant, provides a favorable aesthetic gain concerning the maintenance of the gingival profile. The creation of a customized healing abutment that copies the gingival profile further increases the likelihood of maintaining gingival aesthetics and, consequently, the final quality of the work performed. The use of chairside CAD/ CAM technology is of great value to get the quick form of customizable components and provide patient care in a single session.

Keywords: Immediate implant, customizable healing abutment, CAD-CAM in dentistry, gingival profile, atraumatic extraction, vertical extraction system.

Citation: Junior DSM, Machado AMT. “Rehabilitation of Anterior Tooth Loss with Immediate Implant and Preservation of Gingival Aesthetics with Use of Vertical Extraction System and Customized Healing Abutment made by CAD-CAM Technology: Case Report”. SVOA Dentistry 2:5 (2021) Pages 232-237.