Dr Juan Zufia
Dentoalveolar restoration of a compromised socket
“ Case Report:
Male patient, caucasian, 27 years old. with mobility grade 2 in tooth 1.1 due to a horizontal fracture because of on old a restoration with a post. It presents 2 scars of old fistulas in mesial and distal, but at the moment of the extraction the infectious process was chronic. Because of the marked scalloped shape of the gingiva and the thin biotype, it´s decided to perform the extraction of the tooth and at the same time the complete reconstruction of the alveolus by means of a block of bone from the tuberosity with connective tissue added, in a single piece, just as describes Jose Carlos Martins Da Rosa. Because of the non retentive space on the defect, the connective tissue graft join to the bone helped to stabilize the bone block in the correct position. It was decided to use an implant with the beveled neck looking for a greater preservation of the palatal bone and preserve the height of the papillae, although there is not enough literature in this regard to support this decision. After de graft and placing the immediate implant, it was decided to place a definitive zirconium abutment (one abutment – one time technique) in order to support the great height of the papillae and optimize the preservation of the soft tissue contour. The implant was restored with a provisional crown and a healing period of 6 months was expected. After verifying the integration of the implant, the definitive zirconia restoration was performed. Finally, the case was completed by making a Class IV composite filling on tooth 2.1.”
