Utilización de dentina autóloga como material de regeneración. Rehabilitación de un paciente mediante tratamiento quirúrgico y prostodóncico con flujo digital
- Celis Trigo, Jimena
- Pérez-González, Fabián
- Sánchez-Labrador, Luis
- Rodríguez Domínguez, Sara
- Meniz García, Cristina 1
- Suárez García, María Jesús 1
- Madrigal Martínez-Pereda, Cristina 1
- López-Quiles Martínez, Juan 1
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1
Universidad Complutense de Madrid
info
ISSN: 1697-6398, 1697-641X
Year of publication: 2021
Volume: 18
Issue: 5
Pages: 63-69
Type: Article
More publications in: Científica dental: Revista científica de formación continuada
Abstract
Introduction: There are multiple procedures to achieve an adequate bone site for implant placement after teeth loss. In the last years, numerous techniques have been proposed for alveolar preservation. Dentin autologous grafts offer a convenient substrate with osteoinductive and osteogenic properties, which are optimum for alveolar regeneration. Objective: In this article, a clinical case of a patient rehabilitated by surgical and prosthodontic treatment, and a review of the literature regarding autologous dentin grafts is presented. Case report: 64 years old male, with no medical records or parafunctional habits, presents severe wear, occlusal instability and aesthetic problems. An integral rehabilitation is performed combining a surgical preservation technique with autologous dentin graft, after which the placement of the implants takes place, and a prosthodontic treatment with zirconium crowns, lithium disilicate inlays and composite restorations. The prosthodontic treatment is accomplished in two phases, going through a provisionalization phase previous to the placement of the definitive restorations, and digital workflow is used. 6 months later, the patient is satisfied, and function and aesthetic are optimum. Conclusions: Dentin autologous graft offers a predictable and effective alternative as a material for alveolar regeneration. Combining this preservation technique, with a good digital planification, results can be maximized and satisfaction for the patient can be increased.