Immediate rehabilitation of anterior tooth loss with two-piece zirconia ceramic implant

Öz

Objectives: The interest in ceramic dental implants has increased in recent years. Unlike titanium implants, there is no risk of discolouration or hypersensitive reactions. Two-piece zirconia implants offer an esthetic treatment alternative to edentulous spaces. This case report presents an immediate treatment of a single tooth loss at the anterior region with a two-piece zirconia implant in combination with platelet-rich-fibrin (PRF). Case report: Our patient attended our clinic with a complaint of mobility in the maxillary central incisor. Following an oral and radiographic evaluation, extraction and the placement of a two-piece zirconia implant with PRF application were applied simultaneously. Immediate loading was performed with a provisional crown. After four months, a lithium disilicate crown was designed and cemented on the zirconia abutment. The patient was followed clinically and radiographically, and no clinical complications were observed during the follow-up period. Conclusion: This clinical case may suggest that treatment with the two-piece zirconia implant with PRF application is a successful and reliable alternative for single-unit immediate rehabilitation, with predictable results in the short-term concerning esthetics and soft tissue health.

Anahtar Kelimeler

• ceramic implant
• immediate implantation
• immediate loading
• PRF

Anterior diş kaybının iki parçalı zirkonya seramik implant ile immediyat rehabilitasyonu

Öz

Amaç: Seramik dental implantlara olan ilgi son yıllarda artmıştır. Bu implantların titanyum implantların aksine, renk yansıması veya aşırı duyarlılık reaksiyonu riskleri yoktur. İki parçalı zirkonya implantlar, dişsiz boşluklar için estetik bir tedavi alternatifi sunar. Bu vaka raporunda, ön bölgedeki tek diş kaybının, trombositten zengin fibrin (PRF) ile kombinasyon halinde iki parçalı zirkonya implant ile immediyat tedavisini sunulmaktadır. Olgu sunumu: Hastamız üst santral kesici dişinde mobilite şikayeti ile kliniğimize başvurmuştur. Oral ve radyografik değerlendirmenin ardından diş çekimi ve PRF uygulaması ile iki parçalı zirkonya implant yerleştirilmesi eş zamanlı olarak uygulanmıştır. Geçici kuron ile immediyat yükleme gerçekleştirilmiştir. Dört ay sonra, lityum disilikat kuron tasarlanarak zirkonya abutment üzerine simante edilmiştir. Hasta klinik ve radyografik olarak takip edilmiş ve takip süresi boyunca herhangi bir klinik komplikasyon gözlenmemiştir. Sonuç: Bu klinik vaka ile, PRF ile uygulanan iki parçalı zirkonya implant tedavisi, estetik ve yumuşak doku sağlığı ile ilgili kısa vadede öngörülebilir sonuçlarla, tek diş eksikliğinin immediyat rehabilitasyonu için başarılı ve güvenilir bir alternatif olarak önerilebilir.

Anahtar Kelimeler

• seramik implant
• immediat implantasyon
• immediat yükleme
• PRF

Kaynakça

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