Immediate loading rehabilitation of a severe oligodontia: minimum impact on a young patient's social life

The purpose of this work was to illustrate the treatment of a severe oligodontia on a patient at the end of the growth through the use of immediately loaded dental implants. Deciduous teeth from 7.4 to 8.3 were extracted in a young patient suffering this severe oligondontia. In the same session five conical implants were inserted by the use of Piezosurgery inserts and traditional burs. The impression for the temporary restoration was then taken and an acrylic temporary restoration stabilized with a laser-welded titanium bar was delivered two days after. One year after loading the impression for the final restoration was taken and the screw retained final rehabilitation was then given to the patient. The radiographic, phonetic and esthetic tests showed an accurate fitting and very satisfactory esthetic integration. The functional and esthetic deficits that could possibly occur with a delayed function different method were minimized with an immediate loading technique. Probably the young patient received a less psycho-esthetic-functional impact then a delayed technique, that in a young age could heavily affect his social life. Although this work considers a single case is interesting how today it's possible to overcome a problem that has to be evaluated with a relational global view, not only dental or esthetic one.