Immediate implant placement in combination with transcrestal sinus floor augmentation and alveolar gap filling using maxgraft® granules

Lanis A, Gallucci G, Pedrinaci I. Full mouth oral rehabilitation of a severely worn dentition based on a fully digital workflow. J Esthet Restor Dent. 2023 Jun;35(4):596-608. doi: 10.1111/jerd.13020.

Original title: Full mouth oral rehabilitation of a severely worn dentition based on a fully digital workflow.

In this case report allogeneic maxgraft® granules were used for transcrestal sinus floor augmentation along with immediate placement of a tissue-level implant following the extraction of a severely worn tooth (#2.6). The granules were also applied to fill the alveolar gap around the implant and a resin-customized healing abutment was installed to seal the grafted socket and maintain the emergency profile of the extracted molar (Socket Seal Abutment Technique – SSA). No complications were reported during the 30-month follow-up period. The study indicates the suitable application of maxgraft® granules in direct contact with dental implants.

Objective: To demonstrate the use of a complete digital workflow for a full mouth rehabilitation in a severely worn dentition.

Clinical considerations: The present case report successfully rehabilitated a full-mouth case of a severely worn dentition based on the use of digital technologies, making the diagnosis and treatment process faster, accurate and less expensive. A long-lasting esthetic and functional result is shown after 30-months follow up.

Conclusions: An appropriate knowledge on dental erosion and oral rehabilitation, combined with a digital dentistry approach could lead the clinician to deliver a fast, accurate and predictable noninvasive restorative treatment in cases like the one described.

Clinical significance: Bruxism-based severely worn dentition is being found more often in population. In this situation, a detailed diagnosis and tailored treatment are mandatory to obtain a predictable treatment outcome. In this sense, the development of adhesive dentistry, new restorative materials and the incorporation of digital technologies can create a predictable synergy to rehabilitate these types of patients with a modern and less invasive approach.

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