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

• Main Authors: Po-Sung Fu, Yi-Min Wu, Ching-Fang Tsai, Ta-Ko Huang, Wen-Cheng Chen, Chun-Cheng Hung, 傅柏松, 吳逸民, 蔡菁芳, 黃大可, 陳文正, 洪純正
• Format: Article
• Language: English
• Published: Wiley 2011-02-01
• Series: Kaohsiung Journal of Medical Sciences
• Subjects: Autogenous bone; Immediate implant restoration; Implant; Peri-implant esthetics
• Online Access: http://www.sciencedirect.com/science/article/pii/S1607551X10000306

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.