periodontologyПародонтологияParodontologiya1683-37591726-7269Russian Periodontal Association (RPA)10.33925/1683-3759-2021-26-1-33-37periodontology-426Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCASE REPORTAnalysis of immediate implant placement tactics for maxilla central incisors replacementAnalysis of immediate implant placement tactics for maxilla central incisors replacementhttps://orcid.org/0000-0001-5804-9497РозовР. А.RozovR. A.

Розов Роман Александрович, к. м. н., доцент кафедры стоматологии ортопедической и материаловедения с курсом ортодонтии взрослых

Санкт-Петербург

Rozov, Roman A., PhD, Associate Professor of Department Prosthodontic Dentistry and Dental Materials

St. Petersburg

dr.rozov@gmail.comhttps://orcid.org/0000-0003-0532-5632ТрезубовВ. Н.TrezubovV. N.

Трезубов Владимир Николаевич, д. м. н., профессор, заведующий кафедрой стоматологии ортопедической и материаловедения с курсом ортодонтии взрослых 

Санкт-Петербург

Trezubov, Vladimir N., PhD, MD,DSс, Professor, Head 

St. Petersburg

trezubovvn@mail.ruhttps://orcid.org/0000-0002-1101-7073ГерасимовА. Б.GerasimovA. B.

Герасимов Александр Борисович, старший врачстоматолог-хирург СПб

Санкт-Петербург

Gerasimov, Aleksandr B., senior dentist of the Department Surgical Dentistry

St. Petersburg

onedoc@mail.ruhttps://orcid.org/0000-0002-8510-7522ФедотоваА. А.FedotovaA. A.

Федотова Анна Александровна, студентка стоматологического факультета

Санкт-Петербург

Fedotova, Anna A., student

St. Petersburg

anna.fedotova@yandex.ruhttps://orcid.org/0000-0003-2160-5829ГамборенаИ.GamborenaI.

Иньяки Гамборена, д.м.н., профессор университета Вашингтона

Сиэттл

Iñaki, Gamborena, MD, DSс, MSc Professor

Seattle

info@drgamborena.comФедерального государственного бюджетного образовательного учреждения высшего образования «Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова» Министерства здравоохранения Российской ФедерацииРоссияDepartment of prosthodontics and dental materials, Faculty of Dentistry Pavlov First Saint Petersburg State Medical UniversityRussian FederationГБУЗ «Городская стоматологическая поликлиника №33»РоссияSt. Petersburg State Budgetary Health Care Institution “City Dental Clinic No. 33”Russian FederationУниверситет ВашингтонаСоединённые Штаты АмерикиUniversity of WashingtonUnited States2021040320212613337Copyright © Розов Р.А., Трезубов В.Н., Герасимов А.Б., Федотова А.А., Гамборена И., 20212021Розов Р.А., Трезубов В.Н., Герасимов А.Б., Федотова А.А., Гамборена И.Rozov R.A., Trezubov V.N., Gerasimov A.B., Fedotova A.A., Gamborena I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.parodont.ru/jour/article/view/426

Relevance. Immediate implant placement with immediate temporisation is method of choice in case of central incisors extractions. In nowadays there are many protocols aimed on optimisation of the immediate prosthetic result. Some of them are based on using CAD/CAM technology, others stress the importance of peri-implant grafting procedures as a means of clinical success. The aim of the study is to analyse tactic of treatment in cases of immediate implant prosthetic replacement of maxilla central incisors using assessment of clinical example and elaboration of the optimal treatment option.Materials and methods. We conducted the evaluation of the 54 year old male patient with the use of clinical and paraclinical examination methods (OPG, CBCT). Implant placement in the position of the teeth 1.1, 2.1 was performed utilising new NobelParallel Conical Connection TiUltra (NobelBiocare, USA) 4.3*13 mm followed by implant supported Procera Zirconia prosthesis. We used international indices PES and it’s modification WES for the assessment of the achieved results.Results. The final result received following scores: PES index = 7, WES index = 8.Conclusion. Choice of implant design is a major influencing factor on the immediate implant placement prognosis. Utilising Nobel Active implant in the described clinical situation combining its placement with grafting of the connective tissue taken from the tuberosity area led to the decrease in total treatment time and achievement of the superior esthetic and functional result.

Relevance. Immediate implant placement with immediate temporisation is method of choice in case of central incisors extractions. In nowadays there are many protocols aimed on optimisation of the immediate prosthetic result. Some of them are based on using CAD/CAM technology, others stress the importance of peri-implant grafting procedures as a means of clinical success. The aim of the study is to analyse tactic of treatment in cases of immediate implant prosthetic replacement of maxilla central incisors using assessment of clinical example and elaboration of the optimal treatment option.Materials and methods. We conducted the evaluation of the 54 year old male patient with the use of clinical and paraclinical examination methods (OPG, CBCT). Implant placement in the position of the teeth 1.1, 2.1 was performed utilising new NobelParallel Conical Connection TiUltra (NobelBiocare, USA) 4.3*13 mm followed by implant supported Procera Zirconia prosthesis. We used international indices PES and it’s modification WES for the assessment of the achieved results.Results. The final result received following scores: PES index = 7, WES index = 8.Conclusion. Choice of implant design is a major influencing factor on the immediate implant placement prognosis. Utilising Nobel Active implant in the described clinical situation combining its placement with grafting of the connective tissue taken from the tuberosity area led to the decrease in total treatment time and achievement of the superior esthetic and functional result.

immediate implant prosthetic replacementesthetic zoneimplant placement with immediate loadingimmediate implant loadingCBCTsocket preservationimmediate implant prosthetic replacementesthetic zoneimplant placement with immediate loadingimmediate implant loadingCBCTsocket preservationReferencesSoumya, P., Koppolu, P., Pathakota, K.R., Chappidi, V. Maxillary Incisive Canal Characteristics: A Radiographic Study Using Cone Beam Computerized Tomography. Radiol Res Pract. 2019;2019:6151253. https://doi.org/10.1155/2019/6151253.Soumya, P., Koppolu, P., Pathakota, K.R., Chappidi, V. Maxillary Incisive Canal Characteristics: A Radiographic Study Using Cone Beam Computerized Tomography. Radiol Res Pract. 2019;2019:6151253. https://doi.org/10.1155/2019/6151253.Weigl, P., Strangio, A. The impact of immediately placed and restored single-tooth implants on hard and soft tissues in the anterior maxilla. Eur J Oral Implantol. 2016;9 Suppl 1:S89-106. 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The authors declare that there are no conflicts of interest present.