Dental implants and the growing patient – A successful implant insertion and implant support prosthesis in a young boy

Abstract

The case report included here describes a successful implant insertion and, six years later, the presentation of a permanent prosthesis case. A 13-year-old boy experienced a traumatic dental injury during a playful altercation with his classmate in the classroom. The boy was examined by a dentist, who took an OPG and recommended extraction of the fractured right maxillary central incisor. The dentist also suggested an implant prosthesis for both the right and left incisors, as they were avulsed as a result of the same injury. Since the fractured right central incisor was severely mobile, the decision was made to extract it and plan for an implant prosthesis for both central incisors. After thoroughly studying the recommendations and cautions outlined in the aforementioned articles, approximately a week later, two implants were inserted, one on each side. These implants had a diameter of 3.3mm and a length of 10mm. Although ensuring that the initial stability was satisfactory, one of the implant fixtures came loose, and a temporary crown was placed on the other one. However, it also came out because implants were ordered from a turner who manufactured them using a manual lathe. Subsequently, implants with a 3.4mm diameter were requested and affixed in the prepared osteotomy. A heatcured acrylic crown was fabricated and placed. The patient would visit regularly every six months, inquiring about the permanent crown. However, it was always postponed. Finally, when he turned 19 years old and was in his first year of engineering, he insisted on receiving the permanent crowns. Consequently, exactly six years after the initial insertion, the permanent Porcelain-Fused-to-Metal (PFM) crown was provided to him.