The use of the immediate loading GTBT-ZERO implant in aesthetic sectorswhile respecting the tissue phenotype

Periodontal tissue volume represents one of the difficulties that the clinicianmust address for proper implant rehabilitation. Long-term maintenance of periimplanttissues is ensured by careful planning of the surgery and the use ofadvanced prosthetic components, such as platform shifting and soft tissue volumemanagement technologies. For clinical and aesthetic success, the identificationof the tissue phenotype and the correct definition of the biological amplitude arecrucial: this makes it possible to minimise bone resorption and ensure the stabilityof hard and soft tissue.

This case report presents a systemically healthy patient who received a subcrestalpost-extraction implant in position 22, accompanied by guided bone regeneration(GBR) techniques and soft tissue augmentation. The use of biomaterials, such ascollagenous bovine bone and resorbable membranes, made it possible to restorethe three-dimensional volume of tissues, improving aesthetics and function. Inaddition, immediate prosthesisation promoted soft tissue healing and the definitionof prosthetic forms. At 3 and 12 months, clinical and radiographic controls showedthe absence of peri-implant bone resorption and tissue stability. This studydemonstrates how customised planning, the use of advanced technologies andrespect for biological principles can guarantee aesthetic, functional and long-termresults in implant treatment in aesthetically sensitive areas.