Reabilitação oral com implantes de carga imediata ou precoce: relato de casos

Abstract

The teeth loss affects not only the functional, aesthetic and phonetic scopes, but also the social area of the affected individual. Different forms of rehabilitation have been elaborated and developed throughout history until the current scenario of implantology development. The objective of this study is to show the feasibility of oral rehabilitation with implants with immediate loading or with early loading, describing the clinical stages of their placement until the definitive rehabilitation of three patients. The first patient, male, with controlled hypertension, 55 years old, with absence in the upper and lower arches, sought care with functional and aesthetic complaints. Rehabilitation with implants and single fixed crowns was suggested for edentulous spaces of the upper right first molar and lower left second premolar. A 30-year-old, normossystemic, female patient sought rehabilitation for the lower left first molar lost after endodontic failure, presenting the posterior tooth mesialized towards the space, but with maintenance of 10 mm of interdental space. Implant placement surgery and rehabilitation with a fixed crown with early loading were performed. The third patient, male, 26 years old, normossystemic, in the final stage of orthodontic treatment, complaining of congenital absence of right and left maxillary lateral incisors and referred for rehabilitation with osseointegrated implants. The placement of the implants took place in the same surgical procedure, as well as the installation of temporary prostheses adapted from those used by the patient fixed to the orthodontic wire during his treatment.With the correct surgical and prosthetic planning, rehabilitations on implants can be obtained immediately or later (early or late) with high success rates.