Immediate Implant Placement and Provisionalization: Optimizing Esthetics and Function

Abstract

Esthetic replacement of tooth in the anterior maxilla is one of the most critical demands of any patient seeking tooth replacement. One of the major current challenges is oral rehabilitation after tooth loss, due to fracture. Esthetic and functional results, together with periodontal health, predict success and prognosis. Implant dentistry provides the solutions for the placement of osseointegrated screw-retained implants or cemented prostheses to replace missing teeth. Careful use of provisional prostheses preserves the harmonious architecture of gingival tissues and affects final treatment results positively. This study describes series of three clinical cases of root fracture of maxillary anterior teeth, which had been previously endodontically treated. The teeth were extracted, immediate implants were placed and the provisional prostheses were fabricated and immediately loaded. The use of an immediate provisional restoration is a viable technique that has good esthetic and functional results and preserves gingival architecture and provides excellent esthetic result for the patient.