Furtado Araújo Michel V, Sommerville Donald, Dhingra Ajay, Schincaglia Gian Pietro
Division of Periodontics, University of Connecticut School of Dental Medicine, Farmington, CT.
Division of Prosthodontics, University of Connecticut School of Dental Medicine.
Clin Adv Periodontics. 2015 May;5(2):83-89. doi: 10.1902/cap.2013.130010.
Despite recent reports on immediate implant placement in infected sockets, it remains unclear whether positive functional and esthetic results are repeatable in treating teeth with periapical infections. This case report describes important diagnostic factors and decision-making steps in the treatment planning of a fractured tooth with a periapical lesion in the anterior maxilla.
A healthy, non-smoking 36-year-old male patient presented with the chief complaint of trauma to the right maxillary central incisor. Radiographs displayed horizontal root fracture and a periapical lesion. Treatment comprised extraction of the fractured tooth with minimal trauma, followed by immediate implant placement and provisionalization. Clinical and radiographic analyses at 12 months after surgery showed maintenance of soft- and hard-tissue configuration and symmetry with the contralateral tooth.
A multidisciplinary approach and careful case selection are of utmost importance for the successful treatment of challenging implant therapy. This case report shows esthetic and functional results 1 year after the immediate placement and functional loading of an implant in an infected socket in the esthetic zone.
尽管近期有关于在感染牙槽窝中即刻种植的报道，但对于患有根尖周感染的牙齿治疗能否重复获得良好的功能和美学效果仍不明确。本病例报告描述了上颌前部一颗伴有根尖周病变的折断牙治疗计划中的重要诊断因素和决策步骤。
一名健康、不吸烟的36岁男性患者，主要诉求为右上颌中切牙外伤。X线片显示牙根水平折断及根尖周病变。治疗包括以最小创伤拔除折断牙，随后即刻种植并进行临时修复。术后12个月的临床和影像学分析显示，软组织和硬组织形态得以维持，与对侧牙齿对称。
多学科方法和谨慎的病例选择对于具有挑战性的种植治疗的成功至关重要。本病例报告展示了在美学区域的感染牙槽窝中即刻种植并进行功能加载1年后的美学和功能效果。
