Abstract

 The tooth removal promotes itself a chain of reaction, leading to bone remodeling and compression of the alveolar ridge. The technique used to extract can booth increase or decrease the amount of bone loss, even more when in the anterior area of the maxilla. It is known that incisions and flap elevation associate with the use of traumatic devices, as elevators creates microfractures and loss of blood supply in the buccal plate, in the other hand, minimal traumatic approaches, using vertical extractors device and flapless technique can maintain the ridge architecture. If the minimally invasive technique is also associate with bone grafts, filling the gap between implant and buccal plate with low rate bone substitute and sub epithelial connective tissue graft to improve the amount of peri-implant soft tissue, the probability to achieve excellent aesthetic result is high. This case report an atraumatic approach to remove a fractured tooth in the aesthetic zone, using a new device to anchor and pull, vertically, the root, without compromising the adjacent tissue. In order to decrease the morbidity of the treatment, immediate implant placement was done. The gap between the implant and buccal plate was filled with hidroxiapatite, and the soft tissue amount increased with a connective tissue graft removed from the palate. After 180 days, the prosthetic fase could be realized without complication or need of any surgical complement.

Keywords: Tooth Extraction; Minimally Invasive Procedures; Oral Surgical Procedures; Dental Implant; Bone Graft

References

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Citation

Citation: Sergio Charifker Ribeiro Martins., et al. “Minimally Invasive Aesthetic Area Tooth Removal Using Bioextractor® and Immediate Implant Placement with Provisionalization: Case Report”. Acta Scientific Dental Sciences 4.6 (2020): 31-35.

Copyright

Copyright: © 2020 Sergio Charifker Ribeiro Martins., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.