Immediate Implant Placement and Provisionalization in the Esthetic Zone: A 6.5-Year Follow-Up and Literature Review

Abstract

The success of dental implant therapy in the esthetic zone requires not only functional osseointegration but also a satisfactory esthetic outcome. To establish harmony, balance, and continuity of gingival architecture between an implant restoration and the adjacent natural dentition is challenging. Immediate implant placement and provisionalization following tooth extraction have been documented as a predictable treatment modality, with fewer surgical interventions needed, to replace a missing tooth in the esthetic zone. This case report illustrates immediate implant placement and provisionalization to replace a failing maxillary right central incisor while maintaining optimal gingival esthetics. The maxillary right central incisor was extracted without flap elevation to minimize soft and hard tissue trauma. Immediately afterwards, the implant was installed using a surgical stent and restored with a provisional crown that had no occlusal contacts. During healing, no significant adverse effects were observed clinically or radiographically. This proposed treatment modality provided the patient with immediate esthetics, function, and comfort without any complications during a follow-up period of 6.5 years.

Clinical application of concentrate growth factors combined with bone substitute in Alveolar ridge preservation of anterior teeth

“…The vertical bone loss of labial buccal bone wall was more obvious than the lingual bone wall due to its thin thickness after tooth extraction [ 34 ]. Similar conditions were observed in our study, so the alveolar crest height was divided into labial and palatal plate height, which were measured and compared respectively.…”

Comparison of Classifications and Indexes for Extraction Socket and Implant Supported Restoration in the Aesthetic Zone: a Systematic Review

“…Provisional restorations on a single implant in the aesthetic zone have been advised for achieving a satisfactory soft tissue shape and hard tissue stability [3]. Furthermore, this technique has been associated with a number of potential advantages, including decreased treatment time, fewer surgical operations, less traumatic surgery, and increased patient satisfaction [4]. Nowadays tooth replacement with a single implantsupported restoration is a predictable and successful treatment.…”

Immediate versus Delayed Implantation for Single-Tooth Restoration of Maxillary Anterior Teeth: A Comparative Analysis on Efficacy

“…As the dental implant technology and biomaterials constantly develop, implant-supported dental restoration has become the first choice to replace missing teeth [ 1 ]. In the past, delayed implantation (DI) was mostly used; that is, implantation was accomplished 3 to 6 months after tooth extraction when the tooth extraction site was completely healed and the bone reconstruction was basically stable, so that the implant could form bony union after implantation with favorable safety [ 2 ]. However, this implant procedure will result in a protracted period of tooth loss, as well as keratinization of the gums and insufficient bone mass in the edentulous area due to alveolar bone absorption following tooth extraction, which will impact the aesthetic effect of implant repair [ 3 , 4 ].…”