ABORDAGEM INTEGRADA DE PLANEJAMENTO DIGITAL, CIRURGIA GUIADA, REGENERAÇÃO TECIDUAL E CARGA IMEDIATA EM REGIÃO ESTÉTICA ANTERIOR COM DEFEITO ÓSSEO SEVERO PÓSTRAUMA: UM RELADO DE CASO CLÍNICO COM EVIDÊNCIAS.

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Bibliographic Details
Title:	ABORDAGEM INTEGRADA DE PLANEJAMENTO DIGITAL, CIRURGIA GUIADA, REGENERAÇÃO TECIDUAL E CARGA IMEDIATA EM REGIÃO ESTÉTICA ANTERIOR COM DEFEITO ÓSSEO SEVERO PÓSTRAUMA: UM RELADO DE CASO CLÍNICO COM EVIDÊNCIAS.
Alternate Title:	INTEGRATED APPROACH OF DIGITAL PLANNING, GUIDED SURGERY, TISSUE REGENERATION AND IMMEDIATE LOADING IN THE ANTERIOR AESTHETIC REGION WITH SEVERE POST-TRAUMATIC BONE DEFECT: A CLINICAL CASE REPORT WITH RECENT EVIDENCE.
Authors:	CATENACE, CRISTIANE DE CILLO¹ cristiane.cillo@gmail.com, MANGOLIN, EDUARDO GUIMARÃES MOREIRA²
Source:	Brazilian Journal of Surgery & Clinical Research. mar-mai2026, Vol. 54 Issue 2, p14-17. 4p.
Subjects:	GUIDED tissue regeneration, IMMEDIATE loading (Dentistry), TRAUMATIC bone defects, COMPUTER-assisted surgery, THERAPEUTICS, TEETH injuries
Abstract (English):	Dentoalveolar trauma in young patients often results in tooth loss associated with significant bone and gingival defects, especially in the anterior aesthetic region of the maxilla. Digital planning combined with guided surgery and guided tissue regeneration techniques has proven to be a predictable alternative for functional and aesthetic rehabilitation in these complex cases. This article reports the clinical case of a 22-year-old male patient who suffered trauma with fracture of teeth 21 and 22, associated with significant vestibular bone loss and soft tissue collapse. The planning was performed in Sidexis 4, with guided placement of two narrow MIS implants (3.3 x 11.5 mm) and bone and gingival regeneration with Ossix Volumax volumizing collagen matrix. Immediate mini-abutments and splinted provisional restorations were installed with immediate loading. The 7-day follow-up demonstrated adequate healing, stability of peri-implant tissues, and a good provisional emergence profile. Digital planning and guided surgery combined with tissue regeneration proved predictable and effective in aesthetic rehabilitation in an anterior region compromised by trauma. [ABSTRACT FROM AUTHOR]
Abstract (Portuguese):	Traumas dento alveolares em pacientes jovens frequentemente resultam em perdas dentárias associadas a defeitos ósseos e gengivais significativos, especialmente na região estética anterior da maxila. O planejamento digital aliado à cirurgia guiada e às técnicas de regeneração tecidual guiada tem se mostrado uma alternativa previsível para reabilitação funcional e estética nesses casos complexos. Este artigo relata o caso clínico de um paciente do sexo masculino, 22 anos, vítima de trauma com fratura dos dentes 21 e 22, associado à perda óssea vestibular significativa e colapso de tecidos moles. O planejamento foi realizado em Sidexis 4, com instalação guiada de dois implantes estreitos MIS (3.3 x 11,5 mm) e regeneração óssea e gengival com matriz colágena volumizadora Ossix Volumax. Foram instalados minipilares imediatos e provisórios ferulizados em carga imediata. O acompanhamento de 7 dias demonstrou adequada cicatrização, estabilidade dos tecidos periimplantares e bom perfil de emergência provisório. O planejamento digital e a cirurgia guiada associada à regeneração tecidual mostraram-se previsíveis e eficazes na reabilitação estética em região anterior comprometida por trauma. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Dentoalveolar trauma in young patients often results in tooth loss associated with significant bone and gingival defects, especially in the anterior aesthetic region of the maxilla. Digital planning combined with guided surgery and guided tissue regeneration techniques has proven to be a predictable alternative for functional and aesthetic rehabilitation in these complex cases. This article reports the clinical case of a 22-year-old male patient who suffered trauma with fracture of teeth 21 and 22, associated with significant vestibular bone loss and soft tissue collapse. The planning was performed in Sidexis 4, with guided placement of two narrow MIS implants (3.3 x 11.5 mm) and bone and gingival regeneration with Ossix Volumax volumizing collagen matrix. Immediate mini-abutments and splinted provisional restorations were installed with immediate loading. The 7-day follow-up demonstrated adequate healing, stability of peri-implant tissues, and a good provisional emergence profile. Digital planning and guided surgery combined with tissue regeneration proved predictable and effective in aesthetic rehabilitation in an anterior region compromised by trauma. [ABSTRACT FROM AUTHOR]
ISSN:	23174404