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Immediate Implant Placement and Provisionalization Using the Extracted Tooth Crown in the Anterior Maxilla: a Case Report.

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Immediate Implant Placement and Provisionalization Using the Extracted Tooth Crown in the Anterior Maxilla: A Case Report

Abstract:

Immediate implant placement after extraction and immediate placement of an interim restoration is a viable option in esthetic zone for better preservation of the peri-implant soft tissues. Also this procedure results in high patient satisfaction due to potential preservation of esthetics and reduced number of visits. While traditional methods involve the use of resin-based material for fabrication of implant-supported interim restoration, another option is using the extracted tooth crown for provisionalization. This clinical report describes immediate implant placement using  flapless technique, to replace a non-restorable maxillary central incisor with external root resorption, and immediate provisionalization using the extracted tooth crown as an implant-supported interim restoration for immediate non-functional loading. Healing was allowed for 8 weeks resulting in optimal soft tissue contour. A customized impression coping for open tray impression technique was fabricated, duplicating the soft tissue emergence created by the provisional restoration. Polyether pick-up impression was made and a master cast fabricated, with no soft tissue alteration needed. A one-piece screw-retained metal-ceramic final restoration was fabricated and delivered to the patient.

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