Jiménez Castellanos Fabio Andrés, Castro Pereira Paola Andrea, Peña Pineda Wilson Orlando
Institución Universitaria Colegios de Colombia UNICOC, Facultad de OdontologíaUniversidad Antonio Nariño UAN. Bogotá,
Práctica privada.
Rev Cient Odontol (Lima). 2022 Jun 27;10(2):e112. doi: 10.21142/2523-2754-1002-2022-112. eCollection 2022 Apr-Jun.
Bone defects hinder implant positioning. Vertical bone deficiency is the most challenging for clinical treatment, due to the high sensitivity of the technique and frequent intra- and postoperative complications. An alternative treatment for vertical defects is guided bone regeneration with simultaneous implantation; however, few studies have evaluated its effectiveness over time.
To evaluate peri-implant tissue stability in a dental implant simultaneously positioned in an aesthetic zone of an area of zone vertical bone regeneration 3 years after functional load.
A 62-year-old male presented with the absence of the right lateral incisor and vertical bone defect of 3mm. His initial condition affected the relation of zenith points, causing disharmony. After case evaluation, vertical guided bone regeneration and simultaneous dental implants were performed to obtain a vertical bone gain of 3mm. The implant was rehabilitated with a zirconium crown and evaluated 3 years after functional loading.
Vertical guided bone regeneration and simultaneous dental implant in the aesthetic zone in small bone defects (<4 mm) is an appropriate surgical and prosthetic technique to reduce surgical time, providing stability of peri-implant tissues even 3 years after functional implant loading.
骨缺损会妨碍种植体植入。垂直骨缺损对临床治疗而言最具挑战性，因为该技术敏感性高，术中和术后并发症频发。垂直缺损的一种替代治疗方法是引导骨再生并同期植入；然而，很少有研究评估其长期有效性。
评估在功能负荷3年后，同期植入于垂直骨再生区域美学区的牙种植体周围组织的稳定性。
一名62岁男性，右侧侧切牙缺失，伴有3mm的垂直骨缺损。其初始状况影响了顶点关系，导致不协调。经过病例评估后，进行了垂直引导骨再生和同期牙种植，垂直骨增量达3mm。种植体用锆冠修复，并在功能负荷3年后进行评估。
在小骨缺损（<4mm）的美学区进行垂直引导骨再生和同期牙种植是一种合适的手术和修复技术，可缩短手术时间，即使在种植体功能负荷3年后仍能保持种植体周围组织的稳定性。
