Dr. Massimo Frosecchi
This case report shows successful socket sealing technique after tooth extraction with a partially exposed mucoderm® of the upper central incisor in an aesthetically demanding case.
A 46-year old patient, non-smoker, ASA 1 and no periodontal disease presents with mild pain in the upper central incisor. Her central left incisor #21 showed a mobility and swelling. Additionally, the probing depth was 7-8 mm in buccal area. The preoperative radiographic control revealed a previous endodontically treated tooth with a fractured root.
Another factor that rendered the situation more complicated was that patient had a high smile line and high esthetic expectations.
The treatment plan was extraction and immediate socket sealing with mucoderm® in order to maintain the alveolar structure and soft tissues, and to create an ideal situation for delayed implant placement.
Tooth extraction in the esthetic zone leads to a higher complexity of the treatment due to limited hard and soft tissue occurrence after tooth extraction.
Implant positioning alone, is mostly insufficient to achieve an optimal outcome. The correct surgical technique and selection of the right biomaterials are important factors to consider in order to determine the desirable result.
Furthermore, the treatment strategy is very important to limit risks. Therefore, a staged approach is often a good way to obtain better results, even if overall treatment time is increased.