Immediate implant with immediate loading in the anterior region using L-PRF to preserve gingival aesthetic profile

Abstract

One of the challenges of the immediate immediately loaded implantation technique in aesthetic areas is the preservation of aesthetic support structures such as marginal ridges and soft tissues. In order to preserve the peri-implant structures and maintain the aesthetic volume of the alveolar process and thus the emergence profile of the implant prosthesis. Bone grafts, connective tissue grafts and use of biological membranes can be employed to cover the surgical bed to protect and preserve the volume of the socket, maintaining the prosthetic aesthetic profile safely and predictablyThis paper aims to present a clinical case of a patient with tooth root fracture 21. Atraumatic tooth extraction was performed with immediate implant installation. For the preservation of the peri-implant structures and maintenance of the gingival aesthetic profile, a bone graft was performed, with i-PRF agglutinated xenograft, collagen membrane and covering the gap, the L-PRF membrane and immediately loaded using a plastic ucla abutment and a tooth. made with an additional silicone wall. The case was evaluated at 7 days and 30 days and immediately afterwards the definitive prosthesis was performed and 90-day follow up was performed. Based on the initial results obtained, it can be concluded that the treatment had benefits providing a favorable prognosis with longer implant survival at the end of the osteointegration period.