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Optimizing Anterior Esthetics with Immediate Implant Placement and a Fixed Provisional Restoration Optimizing Anterior Esthetics with Immediate Implant Placement and a Fixed Provisional Restoration

Author(s):

George Priest, DMD

Date Added:

1/10/2006


Summary:

Implant placement immediately after tooth extraction, followed by an immediate provisional restoration of a single dental implant, provides significant benefits compared with traditional delayed protocols. Patients are not burdened with cumbersome removable interim prostheses, osseous anatomy may be preserved, sulcular form is optimized before definitive restoration, soft tissue has matured before implant integration, fewer surgical interventions are required, and treatment time is accelerated. A few authors noted a diminished implant success rate for immediately restored single implants with provisional crowns compared with delayed restoration. However, many researchers reported short-term success rates between 96% and 100%.Factors critical to success of immediate restoration include initial implant stability in good quality bone and patient compliance with instructions to avoid the provisional restoration during mastication.

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