Surgical and restorative management of a dental implant in the esthetic zone and volumetric evaluation following deepithelialized connective tissue graft: a case report
Introduction (basis and objectives): After tooth extraction, changes occur in the soft tissues associated with bone resorption in a vertical and horizontal direction. This collapse can be addressed through bone grafts and connective tissue grafts. The objective of this clinical case is to describe the treatment sequence carried out from extraction to delivery of the definitive crown, combining regenerative, guided surgery, mucogingival and prosthetic concepts. Furthermore, changes in vestibular mucosal thickness that occurred after the use of a connective tissue graft are described and analyzed using digital analysis software.
Methods: The surgical sequence consisted of performing alveolar preservation. After 4 months, a guided implant was planned and placed in position 1.2 with simultaneous connective tissue graft. After integration, the soft tissues were conditioned with a provisional crown and then the definitive screw-retained restoration was placed.
Results: The guided implant placement approach and application of a connective tissue graft showed aesthetic results and significant soft tissue volumetric gains.
Conclusions: Careful management of hard and soft tissues, as well as planning through guided surgery, increases precision regarding the ideal position of the implant, which will impact the long-term stability of hard and soft tissues.
Key words: Surgery; Computer-Assisted; Dental implants; Soft tissue; Connective tissue; Software tool.