Immediate provisional restoration of a single-tooth implant in the esthetic zone: A case report

• Published in: The Kaohsiung journal of medical sciences 2011-02, Vol.27 (2), p.80-84
• Main Authors: Fu, Po-Sung, Wu, Yi-Min, Tsai, Ching-Fang, Huang, Ta-Ko, Chen, Wen-Cheng, Hung, Chun-Cheng, 傅柏松, 吳逸民, 蔡菁芳, 黃大可, 陳文正, 洪純正
• Format: Article
• Language: English
• Subjects: Adult; Autogenous bone; Dental Implants, Single-Tooth; Dental Prosthesis Design; Dental Restoration, Temporary - methods; Humans; Immediate implant restoration; Implant; Internal Medicine; Male; Peri-implant esthetics; 植體; 植體周圍美觀; 植體立即性贋復; 自體骨
• ISSN: 1607-551X; 2410-8650
• DOI: 10.1016/j.kjms.2010.06.002

Abstract Immediate implant restoration of single implants may demonstrate a positive effect on peri-implant soft tissue. Placement of a provisional restoration following implant surgery can create soft tissue contours that resemble normal gingival topography before placement of the definitive prosthesis. This article describes a staged approach of the mandibular permanent right central incisor, which was congenital missing. The proper space for restoration of the missing incisor was created through orthodontic treatment. The scheduled implant site was reconstructed using autogenous bone harvested from the chin region. After a healing period of four months, an implant was installed with the connection of a fixed provisional crown to a prefabricated temporary abutment. The soft tissue around the implant healed according to the contours of the provisional restoration and the emergence profile was used to duplicate the definitive restoration. Peri-implant esthetics was achieved through the staged approach and immediate restoration of the implant.