Immediate prosthetic rehabilitation of lower molars with hybrid internal tapered implants: report of two cases

• Published in: RGO: Revista Gaúcha de Odontologia Vol. 71
• Main Authors: Marcos Boaventura de MOURA, Geninho THOMÉ, Karine Regina Tolesano LOUREIRO, Carolina Accorsi CARTELLI, Jean UHLENDORF, Paulo Cézar SIMAMOTO JÚNIOR
• Format: Journal Article
• Language: English; Portuguese
• Published: Faculdade São Leopoldo Mandic 01-03-2023
• Subjects: Dental implantation; Dental prosthesis; Dental restoration temporary; Molar; Mouth rehabilitation
• ISSN: 1981-8637
• DOI: 10.1590/1981-86372023000320210033

ABSTRACT The immediate rehabilitation of the posterior region of the mandible with dental implants, expands the set of possible actions for the dental surgeon, in the face of tooth loss. The purpose of this study is to describe two cases of single rehabilitation of mandibular molars with hybrid internal tapered implants indicated for immediate loading in post-extraction socket, associated with the maintenance of the prosthetic and peri-implant space. Implants with macrogeometry and surface treatment (Hydrophilic) were used to optimize primary stability, as well as the type of internal connection and prosthetic abutments that allows better accommodation and healing of adjacent tissues, and protection of the bone graft. Different methodologies of surgical guides did not influence the final result. The predictability of associating techniques and components can be observed in the 2-year follow-up. The initial planning combined with the new technologies enable to achieve stable and functional final restorations.