title: Post-traumatic treatment of maxillary incisors by immediate dentoalveolar restoration with long-term follow-up.
abstract: Replacing both missing maxillary anterior teeth is particularly challenging, especially in compromised sockets. This case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. This multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and periapical lesion development were detected during orthodontic treatment. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the 3-year follow-up period. The predictable esthetic outcomes and soft- and hard-tissue stability that can be achieved following IDR are demonstrated.
authors.affiliation: PhD Student in Oral Implantology, Department of Implantology, São Leopoldo Mandic Dental Research Center, Campinas SP, Brazil.
authors.forename: Ariádene Cristina Pértile de Oliveira
authors.initials: AC
authors.lastname: Rosa
authors.affiliation: Full Professor, Department of Implantology, São Leopoldo Mandic Dental Research Center, Campinas SP, Brazil.
authors.forename: Carlos Eduardo
authors.initials: CE
authors.lastname: Francischone
authors.affiliation: Full Professor, Department of Orthodontics, University of Sagrado Coração, Bauru, São Paulo, Brazil.
authors.forename: Mauricio de Almeida
authors.initials: Mde A
authors.lastname: Cardoso
authors.affiliation: Student, University of Sagrado Coração, Bauru, São Paulo, Brazil.
authors.forename: Ana Carolina
authors.initials: AC
authors.lastname: Alonso
authors.affiliation: Full Professor, Department of Orthodontics. University of Sagrado Coração, Bauru, São Paulo, Brazil.
authors.forename: Leopoldino Capelozza
authors.initials: LC
authors.lastname: Filho
authors.affiliation: PhD in Oral Implantology, Department of Implantology, São Leopoldo Mandic Dental Research Center, Campinas SP, Brazil.
authors.forename: José Carlos Martins
authors.initials: JC
authors.lastname: da Rosa
mesh_terms: D000293:Adolescent; D016025:Bone Transplantation / Q000379:methods; D003442:Crowns; D000044:Dental Abutments; D005260:Female; D006801:Humans; D057893:Immediate Dental Implant Loading; D007180:Incisor / Q000293:injuries*; D008437:Maxilla; D009971:Orthodontics, Corrective; D014057:Tomography, X-Ray Computed; D014081:Tooth Extraction; D014082:Tooth Fractures / Q000601:surgery*; D014092:Tooth Root / Q000293:injuries