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Dental Dam Isolation for Crown Removal, Atraumatic Tooth Extraction, Immediate Implant Placement, and Restoration
G Guzman-Perez1, S Rojas-Rueda2, F Floriani3
1Gerardo Guzman-Perez, DDS, MS, Department of Periodontology, Centro Educativo Multidisciplinario en Rehabilitacion Oral (CEMRO), Morelia, Mexico; Department of Periodontology, Quetzalcoatl University, Irapuato, Mexico.
Objectives:
This case report describes the clinical protocols for the removal of crowns, tooth extraction, immediate implant placement, and cementation of new crowns, all performed under total or partial isolation with a dental dam.
Clinical Considerations:
The patient's chief complaint was dissatisfaction with her smile. Radiographic and clinical evaluations led to the recommendation to replace the porcelain-fused-to-metal crowns on the maxillary central and lateral incisors with all-ceramic crowns. Considering the patient's wide smile, ceramic veneer restorations were also recommended for the maxillary canines and first premolars. An immediate implant placement was advised to replace the fractured maxillary right central incisor.
Conclusions:
Well-planned dental care including crown removal, tooth extraction, immediate implant placement, and cementation of new restorations can be successfully executed under isolation using a dental dam. The isolation improves access, visibility, and hygiene by preventing cross-contamination during the cementation procedure. The final outcome fulfilled the patient's esthetic demands.
