Rotatory bone expansion with immediate implant - case report

Abstract

This study aims to report a clinical case of installing implants in a region with insufficient bone thickness without the use of bone grafting. The Bone Expander® system drill sequence (Maximus, Contagem, Brazil) was used to perform bone expansion in the region of teeth 44 and 46 to enable the installation of Maestro implants (Implacil) immediately after expansion, without the need for a new one surgical procedure. Before the procedure, anamnesis, clinical and photographic exams, impression of the arches and tomography of the studied region were performed, which allowed bone thickness assessment. In order for the process to occur satisfactorily, the incision, detachment was observed, which greatly favored the installation of the implants, in addition to the primary stability and, consequently, secondary stability that will provide clinical success. It was concluded that the bone after expanded, guarantees a greater torque to the implant due to its elasticity and condensation in laterality in the apical direction, guaranteeing an adequate osseointegration and subsequent success in the planned treatment.