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    Immediate Implant Placement and Loading Enriched With L-PRF in Esthetic Zone - A Case Report

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    sapna
    This document summarizes a case report of immediate implant placement and loading with L-PRF in the esthetic zone. A 24-year-old female patient presented with abnormal-looking upper front teeth that had been retained for 10 years. The retained teeth were extracted and immediately replaced with implants. L-PRF gel was applied to the implant surfaces and a membrane was placed. The implants integrated well and were successfully restored with zirconia crowns. The use of immediate implants and L-PRF resulted in good esthetic and healing outcomes for replacing the retained primary teeth.

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    Immediate Implant Placement and Loading Enriched With L-PRF in Esthetic Zone - A Case Report

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    sapna
    43 views31 pages
    This document summarizes a case report of immediate implant placement and loading with L-PRF in the esthetic zone. A 24-year-old female patient presented with abnormal-looking upper front teeth that had been retained for 10 years. The retained teeth were extracted and immediately replaced with implants. L-PRF gel was applied to the implant surfaces and a membrane was placed. The implants integrated well and were successfully restored with zirconia crowns. The use of immediate implants and L-PRF resulted in good esthetic and healing outcomes for replacing the retained primary teeth.

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    This document summarizes a case report of immediate implant placement and loading with L-PRF in the esthetic zone. A 24-year-old female patient presented with abnormal-looking upper front teeth that had been retained for 10 years. The retained teeth were extracted and immediately replaced with implants. L-PRF gel was applied to the implant surfaces and a membrane was placed. The implants integrated well and were successfully restored with zirconia crowns. The use of immediate implants and L-PRF resulted in good esthetic and healing outcomes for replacing the retained primary teeth.

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    Download as pptx, pdf, or txt
    43 views31 pages

    Immediate Implant Placement and Loading Enriched With L-PRF in Esthetic Zone - A Case Report

    Uploaded by

    sapna
    This document summarizes a case report of immediate implant placement and loading with L-PRF in the esthetic zone. A 24-year-old female patient presented with abnormal-looking upper front teeth that had been retained for 10 years. The retained teeth were extracted and immediately replaced with implants. L-PRF gel was applied to the implant surfaces and a membrane was placed. The implants integrated well and were successfully restored with zirconia crowns. The use of immediate implants and L-PRF resulted in good esthetic and healing outcomes for replacing the retained primary teeth.

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    IMMEDIATE IMPLANT PLACEMENT AND

    LOADING ENRICHED WITH L-PRF IN


    ESTHETIC ZONE
    – A CASE REPORT

    SAPNA YADAV
    GUIDED BY-
    MDS 2ND YEAR
    DR. PUJA MALHOTRA
    DEPT. OF
    DR. MANOTI SEHGAL
    PROSTHODONTICS
    INTRODUCTION
    • Wang et al defined retained deciduous teeth as the
    condition where succedaneous permanent teeth have
    erupted while the primary teeth were retained, or the
    permanent teeth unerupted while the primary teeth
    remained in the permanent dentition.

    Multiple retained deciduous teeth: a case report 2009 Jun;27(3):348-9


    ETIOLOGY
    Aktan et al-
    • Congenital absence of
    successor
    • Impaction, translation or
    transmigration of successor
    • Pathology-cysts, tumours,
    odontoma
    • Microdontia of permanent
    dentition
    .

    An evaluation of factors associated with persistent primary teeth.European Journal of Orthodontics


    (2012) 208–212
    Mandibular second
    premolars (2.4-4.3%)
    Maxillary lateral
    incisor (1.6-1.8%)

    Maxillary second
    premolars (1.4-1.6%)

    Mandibular incisors
    (0.2- 0.4%)
    Polder, Bart J., et al. “A meta‐analysis of the prevalence of dental agenesis of permanent
    teeth.” Community Dentistry and Oral Epidemiology, Vol. 32, No. 3, 2004, pp. 217 -26.
    CONSEQUENCES

    Replacing Hopeless Retained Deciduous Teeth in Adults Utilizing Dental Implants: Concepts and
    Case Presentation by Michael Tischler , DDS Published: Dentistry November 2005
    TREATMENT OPTIONS

    • Retain
    • Retain and modify
    • Extraction and space closure
    • Extraction and prosthetic replacement
    FPD
    IMPLANT

    BRITISH DENTAL JOURNAL VOLUME 207 NO. 7 OCT 10 2009New teeth from old: treatment options for
    retained primary teeth S. Robinson1 and M. F. W-Y. Chan2
    IMPLANT

    • Recognised as the treatment of choice


    • High success and survival rates
    • preservation of the alveolar crest
    • elimination of the need to restore adjacent teeth
    • improved esthetics and function

    Pjetursson B E, Lang N P. Prosthetic treatment planning on the basis of scientifi c evidence. J Oral Rehabil 2008;
    35 Suppl 1: 72–79
    IMMEDIATE IMPLANT PLACEMENT

    • a shorter treatment time


    • three dimensional implant
    positioning
    • preservation of alveolar
    bone
    • soft tissue aesthetics

    J. Ortega-Martinez, T. Perez-Pascual, S. Mareque-Bueno, F. Hernandez-Alfaro, and E. Ferres-


    Padro, “Immediate implants following tooth extraction. A systematic review,” Medicina Oral,
    Patología Oral y Cirugia Bucal, vol. 17, no. 2, pp. e251–e261, 2012.
    PLATELET CONCENTRATES

    PRP

    PRF
    VARIOUS PRF CENTRIFUGE
    PROTOCOL
    T-PRF 2700 rpm 12 min
    L-PRF 2700 rpm 12 min
    A-PRF 1500 rpm 14 min
    I-PRF 700 rpm 3-4 min

    Joseph Choukroun. Regenerative innovative therapies approaches: Advanced Platelet rich


    fibrin & Inject able Platelet rich fibrin-Webinar.
    CASE PRESENTATION
    • A 24-year-old female patient in a good health condition without
    any chronic diseases reported to the Postgraduate Department
    of Prosthodontics, SGT University, Gurgaon, with a chief
    complaint of abnormal-looking upper front teeth since 10 years.

    Pre-operative smile view


    PRE-OP INTRAORAL FRONTAL VIEW
    PRE-OP OPG
    SURGICAL PROCEDURE
    Atraumatic extraction
    ROOT LENGTH MEASUREMENTS
    PREPARATION OF L-PRF MEMBRANE WITHDRAWING
    VENOUS BLOOD
    PRF MACHINE
    PREPARATION OF L-PRF MEMBRANE
    APICAL AND PALATAL PREPARATION OF
    OSTEOTOMY SITE
    PALATAL ORIENTATION OF THE OSTEOTOMY SITES
    PRF GEL COATED IMPLANT SURFACE
    PONCHO TECHNIQUE
    FINAL IMPLANT PLACEMENT
    POST-OP OPG
    TEMPORIZATION
    JIG TRIAL
    FINAL CEMENTATION OF LAYERED ZIRCONIA
    CROWNS
    12 MONTHS OF FOLLOW-UP
    CONCLUSION

    • Immediate implants may be considered a


    more appropriate alternative treatment of
    retained teeth than conventional therapy.

    • Platelet products like PRF further enhance the


    esthetics and postoperative healing.
    THANK YOU!

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