The objective of current contemporary implantology treatment is to avoid any type of edentulous state, including tooth loss due to trauma. One of the most challenging tasks in implant dentistry is to fulfill the esthetic expectations of patients. While implant positioning and adequate amounts of soft and hard tissues are essential for achieving an esthetic outcome, the emergence profile of an abutment/restoration also plays an important role in the definitive appearance of implant prostheses. Our main objective is based on the immediate restoration of lost hard and soft tissue structures. Guaranteeing a functional aesthetic result. This is why the interdisciplinary management of Prosthodontics - Maxillofacial Surgery (Dr. May Rodríguez - Dr. Edgar Cabrera) is of vital importance from the beginning of the case, to guarantee the creation of healthy tissue around our implants.

Minimally invasive surgery (anterior sector) GBR GTR IMM IMPLANT PLACEMENT. ALVEOLAR RECONSTRUCTION. DR CABRERA EDGAR - DRA RODRIGUEZ MAY. INITIAL CONDITION 3D EVAL! FIRST SURGERY: Alveolar preservation! Monitoring condition 4months! Fresh sockets implant placement. IS III Neobiotech (fixture direction pin) Monitoring. Temp (Dra. May Rodriguez) Soft tissue management (Dra Rodriguez Dr Cabrera) Healing condition HEALING CONDITION! EMG PROFILE DESIGN (Dra. May Rodriguez Spain)

INITIAL CONDITION SURGICAL APPROACH IMMEDIATE IMPLANT PLACEMENT [PRIMARY STABILITY] IMMEDIATE LOADING CONCEPT SOFT TISSUE MANAGEMENT - Healing screw during preparation of temporary prosthesis POSTOPERATIVE CONTROL 90 DAYS DR. EDGAR CABRERA [OMFS] INSTAGRAM: @dredgarmaxilo.

With the presentation of this brief case, we want to highlight the importance of the location of anatomical repairs in the technique of immediate implants in the rehabilitation of the posterior sector. Emphasizing the importance of knowing the macrodesign of our IS-III implant, which provides us with fixation and primary stability results that are optimal for performing surgeries that involve extractions, enucleation of periapical lesions, bone curettage, and immediate implant placement. ANATOMICAL CONSIDERATIONS (Post-extraction socket technique) Different stages SURGICAL CONSIDERATIONS: BIOLOGICAL ORIENTATION: FOLLOW-UP:

SUMMARY CENTRAL INCISOR + PERIAPICAL LESION XENOGRAFT+COLLAGEN MEMBRANE BEFORE-AFTER (IMMEDIATE IMPLANT PLACEMENT) VESTIBULAR SOFT TISSUE PROJECTION

With the emergence of new technologies, we make more accurate diagnoses that allow us to combine classic reconstructive techniques in the resolution of cases that have periapical lesions that compromise not only the dental organs but also the alveolar process. In this case, we present a 45-year-old female patient with systemic compromise of controlled type I diabetes mellitus, who has suffered from moderate-severe periodontal disease, accompanied by chronic periapical processes exacerbated over time. All the interdisciplinary planning and management by disciplines were carried out to decide the best treatment plan for our case, taking into consideration that due to the extent of the lesion and compromise of the alveolar bone, it would not be possible to offer the application of an immediate loading protocol. Considering solving it in 3 different phases, beginning with a first phase of Surgery that includes: The extraction of the anteroinferior group, enucleation of the periapical lesion, bone curettage and the possibility of immediate reconstruction with the application of the 50:50 guided bone regeneration protocol combining autologous grafting of the ascending ramus of the mandible combined with bovine-type xenograft, combined with matrices of APRF+ (Choukroun protocol). Covering all the biomaterial with a collagen membrane made from slowly reabsorbing porcine dermis. With a resorption time between 6 and 9 months, this provides high stability in maintaining the space for new bone formation. In a second phase, the controls and planning are carried out with a new CBCT, to place 03 Neobiotech dental implants. Looking for the increase of vestibular keratinized tissue with connective tissue grafts, around the healing screws. In the third phase of treatment we decided to start the fixed implant-supported rehabilitation phase, achieving an acceptable functional aesthetic result.

The objective of current contemporary implantology treatment is to avoid any type of edentulous state, including tooth loss due to trauma. Our main objective is based on the immediate restoration of lost hard and soft tissue structures. Guaranteeing a functional aesthetic result. This is why the interdisciplinary management of Prosthodontics - Maxillofacial Surgery (Dr. May Rodríguez - Dr. Edgar Cabrera) is of vital importance from the beginning of the case, to guarantee the creation of healthy tissue around our implants.