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TEETH IN 6 HOURS
Dr. Mario Romero
Félix
Diplomado ACDRC General Dentistry,
Lake Worth, USA
Diplomado Oral Implantology, INCAFOE-G
Restorative Dentistry INCAFOE Diplomado Director-G
mromero@buenaliento.com
www.buenaliento.com
Dra. Priscila
Muñoz Renella
Dentistry, University of Guayaquil
2003
Restorative Dentistry INCAFOE Diplomado 2006-G
In Ecuador, and generally throughout Latin
America, implantology is becoming a routine procedure in our
dental practices. Examples of this are the Training Courses
in Oral Implantology, which develop from a year ago at the
Training Institute of Dental Federation Ecuadorian
subsidiary Guayas, which have been placed so far, 43
implants, the which many are already in the rehabilitation
phase.
With alternatives such as immediate loading of implant can
restore masticatory function and esthetics to patients
within hours.
The case presented below is that of a patient who came to
consult with G-INCA.FOE a nuisance in the piece # 21.
Radiographic examination shows a pole and a conical crown
intraradicular acrylic completely disoriented. (Photo 1).
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Photo 1 |
At clinical examination shows a edematizado
tissue with purulent secretion in the cervical and middle third
of the root zone of the same piece, with characteristics
consistent with a fracture.
(Photo
2). All Sextant 2 was aesthetically compromised.
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Photo 2 |
Treatment plan and dental materials:
It was decided to perform the extraction of the part 21
Withdrawal of fixed bridge porcelain metal piece that goes from
14 to 11
Insertion of 3 implants Evolution II and Tapered 1 (B & W) of
pure titanium with acid etching in the area of parts 13, 12, 21
and 25
The implant in area 25 will be submerged due to its length (8mm)
and because there was a piece carved natural neighbor order
ferulizarlo.
Reconstruction temporary Ketak Molar (3M ESPE) to the prosthetic
stump 11 piece
Carved crown parts 22 and 23
Retallado parts 14 and 11
Clothing with acrylic Alike (GC) of natural temporary
ferulizados on pieces 14, 11, 22, 23 and prosthetic pillar (PPV
and UCLA Ti) 13, 12 and 21
Sequence clinical picture:
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Photo 3: Occlusal
view of the initial case. Through treatments were
conducted in parts 22 and 23 prior to the event
prothetic. |
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Photo 4: Removed the existing
fixed prosthesis. |
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Photo 5: We extracted the
broken piece. Note the level of the fracture
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Photo 6: implants were placed
B & W: 5X13 Tapered at 21 Evolution II 3.75X11.50 at
13 and 12 and 5x8 at 25. Note the parallels that are
related to the natural teeth. |
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Photo 7: prosthetic abutments
in position. UCLA used a Ti anatomical neck with 1
mm in area 21, whereas in area 13 and 12 were used
pillars position variable Ti (PPV). |
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Photo 8: Rx for complete
control of the settlement of the pillars on
prosthetic implants. |
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Photo 9: prosthetic carved
pillars to create space and reconstruction of
interoclusal stump with Ketak Molar Part 11
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Photo 10: ferulizados
provisional acrylic cemented temporarily.
Since the beginning of the photographic sequence has
been approx.
6 hours. |
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Photo 11: Appointment of
suture removal (7 days).
Note periodontal recovery.
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Photo 12: Control to 15
days |
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Photo 13: Smile with
temporary |
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