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Updated: Apr 15, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
Published on: October 18, 2021
Post-traumatic treatment of maxillary incisors by immediate dentoalveolar restoration with long-term follow-up
Ariádene Cristina Pértile de Oliveira Rosa1, Carlos Eduardo Francischone2, Mauricio de Almeida Cardoso3
1PhD Student in Oral Implantology, Department of Implantology, São Leopoldo Mandic Dental Research Center, Campinas SP, Brazil.
Abstract:
Replacing both missing maxillary anterior teeth is particularly challenging, especially in compromised sockets. This case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. This multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and periapical lesion development were detected during orthodontic treatment. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the 3-year follow-up period. The predictable esthetic outcomes and soft- and hard-tissue stability that can be achieved following IDR are demonstrated.