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

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....

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Main Authors: Hsiu-Wan Meng, Esther Yun Chien, Hua-Hong Chien
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2021/4290193
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author Hsiu-Wan Meng
Esther Yun Chien
Hua-Hong Chien
author_facet Hsiu-Wan Meng
Esther Yun Chien
Hua-Hong Chien
author_sort Hsiu-Wan Meng
collection DOAJ
description 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.
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institution Kabale University
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spelling doaj-art-abe7dc9d33e945d4a04b2bec774fb64e2025-02-03T05:43:48ZengWileyCase Reports in Dentistry2090-64472090-64552021-01-01202110.1155/2021/42901934290193Immediate Implant Placement and Provisionalization in the Esthetic Zone: A 6.5-Year Follow-Up and Literature ReviewHsiu-Wan Meng0Esther Yun Chien1Hua-Hong Chien2Department of Periodontics and Dental Hygiene, The University of Texas Health Science Center School of Dentistry, Houston TX, USAPrivate Practice, Columbus OH, USADivision of Periodontology, College of Dentistry, The Ohio State University, Columbus OH, USAThe 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.http://dx.doi.org/10.1155/2021/4290193
spellingShingle Hsiu-Wan Meng
Esther Yun Chien
Hua-Hong Chien
Immediate Implant Placement and Provisionalization in the Esthetic Zone: A 6.5-Year Follow-Up and Literature Review
Case Reports in Dentistry
title Immediate Implant Placement and Provisionalization in the Esthetic Zone: A 6.5-Year Follow-Up and Literature Review
title_full Immediate Implant Placement and Provisionalization in the Esthetic Zone: A 6.5-Year Follow-Up and Literature Review
title_fullStr Immediate Implant Placement and Provisionalization in the Esthetic Zone: A 6.5-Year Follow-Up and Literature Review
title_full_unstemmed Immediate Implant Placement and Provisionalization in the Esthetic Zone: A 6.5-Year Follow-Up and Literature Review
title_short Immediate Implant Placement and Provisionalization in the Esthetic Zone: A 6.5-Year Follow-Up and Literature Review
title_sort immediate implant placement and provisionalization in the esthetic zone a 6 5 year follow up and literature review
url http://dx.doi.org/10.1155/2021/4290193
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AT estheryunchien immediateimplantplacementandprovisionalizationintheestheticzonea65yearfollowupandliteraturereview
AT huahongchien immediateimplantplacementandprovisionalizationintheestheticzonea65yearfollowupandliteraturereview