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International Journal of Esthetic Dentistry  (English Edition)



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Int J Esthet Dent 8 (2013), No. 3     13. Aug. 2013
Int J Esthet Dent 8 (2013), No. 3  (13.08.2013)

Page 432-443, PubMed:23957042

Immediate Dentoalveolar Restoration of compromised sockets: a novel technique
da Rosa, José Carlos Martins / Rosa, Ariádene Cristina Pértile de Oliveira / da Rosa, Darcymar Martins / Zardo, Carla Monica
Purpose: The aim of this paper is to describe a protocol for a one-stage technique called Immediate Dentoalveolar Restoration (IDR), which uses autogenous bone grafts to restore peri-implant bone defects, presenting the results of mid-term follow-up.
Summary: The patient presented a left central incisor that was compromised and with a total loss of buccal bone wall. The proposed treatment followed a protocol of immediate implantation, with a flapless surgery, using corticocancellous bone graft harvested from the maxillary tuberosity to restore the bone defect in question. The graft was shaped to the defect size and inserted between the implant and the remaining buccal soft tissue. The provisional restoration was made at the same time. The patient was followed for 36 months. The results were analyzed by means of clinical assessment, photography, periapical radiography and cone beam computed tomography.
Conclusion: The treatment described appears to afford satisfactory esthetic results, with lower overall costs and treatment time.