title: Atraumatic extraction, implant placement and immediate provisionalization.
abstract: Front tooth extraction typically results in significant loss of hard and soft tissue volume, both in the vestibular-lingual and mesiodistal directions. As these changes can compromise the esthetic results of prosthetic rehabilitation, extraction techniques that cause minimal trauma to the remnant tissues are applied in combination with immediate implant placement to minimize such alterations. The case reported in the present article illustrates a therapeutic plan consisting of atraumatic extraction followed by immediate implant placement and provisionalization. When carefully indicated and planned, our results indicate that this technique may provide promising immediate results relative to the maintenance and stability of the peri-implanted tissues.
authors.affiliation: Professor, Department of Postgraduate Dentistry, University CEUMA São Luis, Maranhão, Brazil, e-mail: rudysd@uol.com.br.
authors.forename: Rudys Rodolfo de Jesus
authors.initials: RR
authors.lastname: Tavarez
authors.affiliation: Postgraduate Student, Student of Master Program of Dentistry, University CEUMA São Luis, Maranhão, Brazil.
authors.forename: Amanda Martins
authors.initials: AM
authors.lastname: Calixto
authors.affiliation: Professor, Department of Postgraduate Dentistry, University CEUMA São Luis, Maranhão, Brazil.
authors.forename: Etevaldo Matos
authors.initials: EM
authors.lastname: Maia Filho
authors.affiliation: Department of Postgraduate Dentistry, University CEUMA São Luis, Maranhão, Brazil.
authors.forename: Matheus Coelho
authors.initials: MC
authors.lastname: Bandeca
authors.affiliation: Department of Dental Materials, Federal of Maranhão University (UFMA), São Luis, Maranhão, Brazil.
authors.forename: Leily Macedo
authors.initials: LM
authors.lastname: Firoozmand
authors.affiliation: Department of Dentistry, Universidade CEUMA, São Luis Maranhão, Brazil.
authors.forename: Mario Gilson Nina
authors.initials: MG
authors.lastname: Gomes
authors.affiliation: Professor, Department of Dentistry, Universidade CEUMA, São Luis Maranhão, Brazil.
authors.forename: Adriana Santos
authors.initials: AS
authors.lastname: Malheiros
mesh_terms: D000328:Adult; D003442:Crowns; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003794:Dental Restoration, Temporary; D005260:Female; D006801:Humans; D057893:Immediate Dental Implant Loading / Q000379:methods*; D007180:Incisor / Q000293:injuries / Q000601:surgery*; D008437:Maxilla / Q000601:surgery; D010347:Patient Care Planning; D014081:Tooth Extraction / Q000379:methods*; D014082:Tooth Fractures / Q000601:surgery; D014092:Tooth Root / Q000293:injuries / Q000601:surgery
chemical_list: D015921:Dental Implants