Implantes dentários em área estética: planejamento clínico para resultados bem-sucedidos
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May 5, 2025
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Resumo
Objetivo: Sumarizar evidências sobre o planejamento da reabilitação com implante dentário (ID) em área estética. Métodos: Trata-se de uma revisão de escopo conduzida conforme as diretrizes do Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) e registrada na Open Science Framework (OSF). As estratégias de busca foram desenvolvidas com os descritores "biocompatible materials", "dental implants", "bone regeneration", "aesthetics", "osseointegration" e "planning", aplicados em inglês e português (Brasil) nas bases de dados PubMed/MEDLINE, SciVerse Scopus, Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Web of Science e na literatura cinza (Google Scholar), associado por meio dos operadores booleanos "AND" e "OR". Resultados: Para um planejamento bem-sucedido em implantodontia, o uso de tecnologias de imagem, como a tomografia computadorizada, possibilita um planejamento adequado. Os scanners intraorais auxiliam na obtenção de imagens precisas, facilitando a confecção de guias cirúrgicos e a definição das melhores estratégias terapêuticas. Biomateriais como Geistlich Bio-Oss® e Geistlich Bio-Gide® demonstraram resultados satisfatórios no processo de osseointegração. Considerações finais: Fatores como a avaliação da qualidade e quantidade óssea, o uso de tecnologias de imagem e a biomaterias de osseointegração devem ser considerados no planejamento clínico da reabilitação oral com IDs em área estética.
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Como Citar
SousaZ. da S., AquinoP. M. D. de, Silva-FilhoJ. E. da, AraújoA. P. C. de, OliveiraA. B. C., GodeiroM. V., BezerraM. D. R. de M., MachadoC. C., VianaF. A. C., & Gurgel-FilhoE. D. (2025). Implantes dentários em área estética: planejamento clínico para resultados bem-sucedidos. Revista Eletrônica Acervo Saúde, 25(5), e20284. https://doi.org/10.25248/reas.e20284.2025
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Referências
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3. ARUNJAROENSUK S, et al. Stability of guided bone regeneration with two ratios of biphasic calcium phosphate at implant sites in the esthetic zone: A randomized controlled clinical trial. Clinical Oral Implants Research, 2023; 34(8): 850-862.
4. ARUNJAROENSUK S, et al. The stability of augmented bone between two different membranes used for guided bone regeneration simultaneous with dental implant placement in the esthetic zone. International Journal of Oral & Maxillofacial Implants, 2018; 33(1).
5. BASLER ARAT, et al. Randomized controlled clinical study assessing two membranes for guided bone regeneration of peri‐implant bone defects: 3‐year results. Clinical Oral Implants Research, 2018; 29(5): 499-507.
6. BILGE NH, et al. Comparison of Pathologic Changes in the Maxillary Sinus Before and After Dental Implant Surgery Using Cone Beam Computed Tomography. International Journal of Oral & Maxillofacial Implants, 2023; 38(6).
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8. CHIAPASCO M e CASENTINI P. Horizontal bone‐augmentation procedures in implant dentistry: prosthetically guided regeneration. Periodontology 2000, 2018; 77(1): 213-240.
9. CLEMENTINI M, et al. Immediate versus delayed positioning of dental implants in guided bone regeneration or onlay graft regenerated areas: a systematic review. International journal of oral and maxillofacial surgery, 2013; 42(5): 643-650.
10. DAHLIN C, et al. Healing of bone defects by guided tissue regeneration. Plastic and reconstructive surgery, 1988; 81(5): 672-676.
11. DE BRUYCKERE T, et al. A randomized controlled study comparing guided bone regeneration with connective tissue graft to re‐establish buccal convexity: one‐year aesthetic and patient‐reported outcomes. Clinical Oral Implants Research, 2020; 31(6): 507-516.
12. DEL CORSO M e DOHAN EHRENFEST DM. Immediate implantation and peri-implant Natural Bone Regeneration (NBR) in the severely resorbed posterior mandible using Leukocyte-and Platelet-Rich Fibrin (L-PRF): a 4-year follow-up. Poseido, 2013; 1(2): 109-116.
13. DEL FABBRO M, et al. Immediate loading of postextraction implants in the esthetic area: systematic review of the literature. Clinical implant dentistry and related research, 2015; 17(1): 52-70.
14. IANNELLO G, et al. Presenting a Protocol for Dental Implant Restorations. Prosthesis, 2023; 5(4): 1153-1170.
15. IŞIK G, et al. Guided bone regeneration simultaneous with implant placement using bovine-derived xenograft with and without liquid platelet-rich fibrin: a randomized controlled clinical trial. Clinical oral investigations, 2021; 25(9): 5563-5575.
16. JONKER BP, et al. Esthetics and patient-reported outcomes of implants placed with guided bone regeneration and complete native bone: a prospective controlled clinical trial. Int J Oral Maxillofac Implants, 2020; 35(2): 406-414.
17. JUNG RE, et al. Clinical and radiographical performance of implants placed with simultaneous guided bone regeneration using resorbable and nonresorbable membranes after 22–24 years, a prospective, controlled clinical trial. Clinical Oral Implants Research, 2021; 32(12): 1455-1465.
18. JUNG RE, et al. Guided bone regeneration with and without rhBMP‐2: 17‐year results of a randomized controlled clinical trial. Clinical Oral Implants Research, 2022; 33(3): 302-312.
19. KUCHLER U, et al. Immediate implant placement with simultaneous guided bone regeneration in the esthetic zone: 10‐year clinical and radiographic outcomes. Clinical Oral Implants Research, 2016; 27(2): 253-257.
20. KURBAD A e KURBAD S. CAD/CAM-based implant abutments. International journal of computerized dentistry, 2013; 16(2): 125-141.
21. LE B, et al. Treatment of labial soft tissue recession around dental implants in the esthetic zone using guided bone regeneration with mineralized allograft: a retrospective clinical case series. Journal of Oral and Maxillofacial Surgery, 2016; 74(8): 1552-1561.
22. LEVIN BP, et al. Advanced esthetic management of dental implants: surgical and restorative considerations to improve outcomes. Journal of Esthetic and Restorative Dentistry, 2015; 27(4): 224-230.
23. MILILLO L e PETRUZZI M. Guided Bone Regeneration with Occlusive Titanium Barrier: A Case Report and Clinical Considerations. Biomimetics, 2023; 8(1): 106.
24. MIZUMOTO RM e YILMAZ B. Intraoral scan bodies in implant dentistry: A systematic review. The Journal of prosthetic dentistry, 2018; 120(3): 343-352.
25. NAENNI N, et al. Implants sites with concomitant bone regeneration using a resorbable or non‐resorbable membrane result in stable marginal bone levels and similar profilometric outcomes over 5 years. Clinical Oral Implants Research, 2021; 32(8): 893-904.
26. NAENNI N, et al. Randomized clinical study assessing two membranes for guided bone regeneration of peri‐implant bone defects: clinical and histological outcomes at 6 months. Clinical Oral Implants Research, 2017; 28(10): 1309-1317.
27. NAIEM SN, et al. Jumping gap in immediate implant placement in the esthetic zone: a virtual implant planning using cone-beam computed tomography. Journal of Prosthodontic Research, 2023; 68(2): 347-353.
28. NTOVAS P, et al. Accuracy of manual and artificial intelligence‐based superimposition of cone‐beam computed tomography with digital scan data, utilizing an implant planning software: A randomized clinical study. Clinical Oral Implants Research, 2024; 35(10): 1262-1272.
29. OLIVEIRA FILHO FA, et al. Guided bone regeneration with immediate loading in esthetic site: a clinical case report. Revista de Cirurgia e Traumatologia Buco-maxilo-facial, 2015; 15(2): 33-38.
30. ONICĂ N, et al. Advanced techniques for bone restoration and immediate loading after implant failure: a case report. Healthcare, 2023; 11(1608).
31. PATZELT SBM e SPIES BC, et al. CAD/CAM‐fabricated implant‐supported restorations: a systematic review. Clinical Oral Implants Research, 2015; 26: 77-85.
32. PUISYS A, et al. Immediate implant placement vs. early implant treatment in the esthetic area: A 1‐year randomized clinical trial. Clinical Oral Implants Research, 2022; 33(6): 634-655.
33. RIOS HF e BORGNAKKE WS, et al. The use of cone‐beam computed tomography in management of patients requiring dental implants: an American Academy of Periodontology best evidence review. Journal of Periodontology, 2017; 88(10): 946-959.
34. SABBAH A. Smile analysis: diagnosis and treatment planning. Dental Clinics of North America, 2022; 66(3): 307-341.
35. SHAH FA e THOMSEN P, et al. Osseointegration and current interpretations of the bone-implant interface. Acta Biomaterialia, 2019; 84: 1-15.
36. VAN DER MEER WJ, et al. Application of intra-oral dental scanners in the digital workflow of implantology, 2012.
37. ZHANG K e YANG C, et al. Immediate implants show good therapeutic and aesthetic effect in patients with class III and IV bone loss of the anterior teeth. American Journal of Translational Research, 2023; 15(4): 2885.
2. ANGELO T, et al. Biomechanical stability of dental implants in augmented maxillary sites: results of a randomized clinical study with four different biomaterials and PRF and a biological view on guided bone regeneration. BioMed Research International, 2015; 1: 850340.
3. ARUNJAROENSUK S, et al. Stability of guided bone regeneration with two ratios of biphasic calcium phosphate at implant sites in the esthetic zone: A randomized controlled clinical trial. Clinical Oral Implants Research, 2023; 34(8): 850-862.
4. ARUNJAROENSUK S, et al. The stability of augmented bone between two different membranes used for guided bone regeneration simultaneous with dental implant placement in the esthetic zone. International Journal of Oral & Maxillofacial Implants, 2018; 33(1).
5. BASLER ARAT, et al. Randomized controlled clinical study assessing two membranes for guided bone regeneration of peri‐implant bone defects: 3‐year results. Clinical Oral Implants Research, 2018; 29(5): 499-507.
6. BILGE NH, et al. Comparison of Pathologic Changes in the Maxillary Sinus Before and After Dental Implant Surgery Using Cone Beam Computed Tomography. International Journal of Oral & Maxillofacial Implants, 2023; 38(6).
7. BOUCKAERT E, et al. A randomized controlled trial comparing guided bone regeneration to connective tissue graft to re‐establish buccal convexity at dental implant sites: three‐year results. Clinical Oral Implants Research, 2022; 33(5): 461-471.
8. CHIAPASCO M e CASENTINI P. Horizontal bone‐augmentation procedures in implant dentistry: prosthetically guided regeneration. Periodontology 2000, 2018; 77(1): 213-240.
9. CLEMENTINI M, et al. Immediate versus delayed positioning of dental implants in guided bone regeneration or onlay graft regenerated areas: a systematic review. International journal of oral and maxillofacial surgery, 2013; 42(5): 643-650.
10. DAHLIN C, et al. Healing of bone defects by guided tissue regeneration. Plastic and reconstructive surgery, 1988; 81(5): 672-676.
11. DE BRUYCKERE T, et al. A randomized controlled study comparing guided bone regeneration with connective tissue graft to re‐establish buccal convexity: one‐year aesthetic and patient‐reported outcomes. Clinical Oral Implants Research, 2020; 31(6): 507-516.
12. DEL CORSO M e DOHAN EHRENFEST DM. Immediate implantation and peri-implant Natural Bone Regeneration (NBR) in the severely resorbed posterior mandible using Leukocyte-and Platelet-Rich Fibrin (L-PRF): a 4-year follow-up. Poseido, 2013; 1(2): 109-116.
13. DEL FABBRO M, et al. Immediate loading of postextraction implants in the esthetic area: systematic review of the literature. Clinical implant dentistry and related research, 2015; 17(1): 52-70.
14. IANNELLO G, et al. Presenting a Protocol for Dental Implant Restorations. Prosthesis, 2023; 5(4): 1153-1170.
15. IŞIK G, et al. Guided bone regeneration simultaneous with implant placement using bovine-derived xenograft with and without liquid platelet-rich fibrin: a randomized controlled clinical trial. Clinical oral investigations, 2021; 25(9): 5563-5575.
16. JONKER BP, et al. Esthetics and patient-reported outcomes of implants placed with guided bone regeneration and complete native bone: a prospective controlled clinical trial. Int J Oral Maxillofac Implants, 2020; 35(2): 406-414.
17. JUNG RE, et al. Clinical and radiographical performance of implants placed with simultaneous guided bone regeneration using resorbable and nonresorbable membranes after 22–24 years, a prospective, controlled clinical trial. Clinical Oral Implants Research, 2021; 32(12): 1455-1465.
18. JUNG RE, et al. Guided bone regeneration with and without rhBMP‐2: 17‐year results of a randomized controlled clinical trial. Clinical Oral Implants Research, 2022; 33(3): 302-312.
19. KUCHLER U, et al. Immediate implant placement with simultaneous guided bone regeneration in the esthetic zone: 10‐year clinical and radiographic outcomes. Clinical Oral Implants Research, 2016; 27(2): 253-257.
20. KURBAD A e KURBAD S. CAD/CAM-based implant abutments. International journal of computerized dentistry, 2013; 16(2): 125-141.
21. LE B, et al. Treatment of labial soft tissue recession around dental implants in the esthetic zone using guided bone regeneration with mineralized allograft: a retrospective clinical case series. Journal of Oral and Maxillofacial Surgery, 2016; 74(8): 1552-1561.
22. LEVIN BP, et al. Advanced esthetic management of dental implants: surgical and restorative considerations to improve outcomes. Journal of Esthetic and Restorative Dentistry, 2015; 27(4): 224-230.
23. MILILLO L e PETRUZZI M. Guided Bone Regeneration with Occlusive Titanium Barrier: A Case Report and Clinical Considerations. Biomimetics, 2023; 8(1): 106.
24. MIZUMOTO RM e YILMAZ B. Intraoral scan bodies in implant dentistry: A systematic review. The Journal of prosthetic dentistry, 2018; 120(3): 343-352.
25. NAENNI N, et al. Implants sites with concomitant bone regeneration using a resorbable or non‐resorbable membrane result in stable marginal bone levels and similar profilometric outcomes over 5 years. Clinical Oral Implants Research, 2021; 32(8): 893-904.
26. NAENNI N, et al. Randomized clinical study assessing two membranes for guided bone regeneration of peri‐implant bone defects: clinical and histological outcomes at 6 months. Clinical Oral Implants Research, 2017; 28(10): 1309-1317.
27. NAIEM SN, et al. Jumping gap in immediate implant placement in the esthetic zone: a virtual implant planning using cone-beam computed tomography. Journal of Prosthodontic Research, 2023; 68(2): 347-353.
28. NTOVAS P, et al. Accuracy of manual and artificial intelligence‐based superimposition of cone‐beam computed tomography with digital scan data, utilizing an implant planning software: A randomized clinical study. Clinical Oral Implants Research, 2024; 35(10): 1262-1272.
29. OLIVEIRA FILHO FA, et al. Guided bone regeneration with immediate loading in esthetic site: a clinical case report. Revista de Cirurgia e Traumatologia Buco-maxilo-facial, 2015; 15(2): 33-38.
30. ONICĂ N, et al. Advanced techniques for bone restoration and immediate loading after implant failure: a case report. Healthcare, 2023; 11(1608).
31. PATZELT SBM e SPIES BC, et al. CAD/CAM‐fabricated implant‐supported restorations: a systematic review. Clinical Oral Implants Research, 2015; 26: 77-85.
32. PUISYS A, et al. Immediate implant placement vs. early implant treatment in the esthetic area: A 1‐year randomized clinical trial. Clinical Oral Implants Research, 2022; 33(6): 634-655.
33. RIOS HF e BORGNAKKE WS, et al. The use of cone‐beam computed tomography in management of patients requiring dental implants: an American Academy of Periodontology best evidence review. Journal of Periodontology, 2017; 88(10): 946-959.
34. SABBAH A. Smile analysis: diagnosis and treatment planning. Dental Clinics of North America, 2022; 66(3): 307-341.
35. SHAH FA e THOMSEN P, et al. Osseointegration and current interpretations of the bone-implant interface. Acta Biomaterialia, 2019; 84: 1-15.
36. VAN DER MEER WJ, et al. Application of intra-oral dental scanners in the digital workflow of implantology, 2012.
37. ZHANG K e YANG C, et al. Immediate implants show good therapeutic and aesthetic effect in patients with class III and IV bone loss of the anterior teeth. American Journal of Translational Research, 2023; 15(4): 2885.