Incisive canal deflation for correct implant placement: case report

Implant Dent. 2009 Dec;18(6):473-9. doi: 10.1097/ID.0b013e3181bd0c7c.

Abstract

Aim: This article is a case report of a patient in whom the prosthetic planning indicated the necessity of an incisive canal deflation for the correct installation of an implant that is to be osseointegrated.

Case report: In the reopening phase after the bone graft installation, the incisive canal deflation (biopsy of its content) was done and titanium implants were installed with one of them invading the anatomical space occupied previously by the incisive canal. The biopsy analysis showed fragments of the incisive artery and nerve, which are responsible for the anterior upper-tooth pulp, the periodontium vascularization and the innervation. From the anastomosis present along with other structures allied with the absence of teeth in the region, there was no detriment to the patient caused by the deflation.

Conclusion: Incisive canal deflation is a viable technique in implantology. It can permit ideal prosthetic planning with no detriment to the patient.

Publication types

  • Case Reports

MeSH terms

  • Biopsy
  • Bone Transplantation
  • Connective Tissue / pathology
  • Connective Tissue / transplantation
  • Dental Implantation, Endosseous / methods*
  • Dental Implants*
  • Dental Materials
  • Dental Prosthesis Design
  • Female
  • Humans
  • Incisor / pathology
  • Maxilla / blood supply
  • Maxilla / innervation
  • Maxilla / pathology*
  • Maxilla / surgery
  • Middle Aged
  • Osseointegration / physiology
  • Patient Care Planning*
  • Surgical Flaps
  • Titanium

Substances

  • Dental Implants
  • Dental Materials
  • Titanium