ORIGINAL ARTICLE   

Minerva Stomatologica 2019 October;68(5):217-25

DOI: 10.23736/S0026-4970.19.04281-X

Copyright © 2019 EDIZIONI MINERVA MEDICA

lingua: Inglese

Piezoelectric implant surgery and immediate loading in the aesthetic zone

Domenico BALDI ¹, Jacopo COLOMBO ² ✉, Gianmario SCHIERANO ³, Stefano CAROSSA ³, Alberto REBAUDI ⁴, Paolo PESCE ¹, Paolo PERA ¹

¹ Division of Prosthetic Dentistry, Department of Surgical Sciences (DISC), University of Genoa, Genoa, Italy; ² Private Practitioner, La Spezia, Italy; ³ Department of Surgical Science, C.I.R. Dental School, University of Turin, Turin, Italy; ⁴ Private Practitioner, Genoa, Genoa, Italy

BACKGROUND: Replacement of missing teeth in the anterior aesthetic zone has challenged clinicians with fixed, removable or implant prosthodontics. Problems have been encountered could void aesthetic and functional results. The aim of this study was to present a clinical case report in which clinician challenged a very strong aesthetic case with an innovative surgical and prosthetic approach.
METHODS: A patient who presented to the authors with a maxillary central incisor that had a hopeless prognosis secondary to acute localized severe periodontitis. The patient was treated by extracting the tooth and replacing it immediately with a platform switched implant using piezoelectric surgery. The implant was then restored with an immediate, non-occlusal loading provisional restoration.
RESULTS: The implant became osseointegrated and was ultimately restored with a definitive abutment and crown restoration.
CONCLUSIONS: Innovative approaches could represent a valid alternative to restore patients functionally and aesthetically.

KEY WORDS: Dental implants; Piezosurgery; Esthetics, dental