Aesthetic prosthetic restoration through immediate implant placement and provisional restoration in the maxillary anterior region using a digital guide
10.14368/jdras.2024.40.4.291
- Author:
Ju-Hyun KIM
1
;
Se-Young KIM
;
Seung-Yoon HAM
;
Soo-Yeon SHIN
Author Information
1. Department of Prosthodontics, College of Dentistry, Dankook University, Cheonan, Republic of Korea
- Publication Type:Case Report
- From:Journal of Dental Rehabilitation and Applied Science
2024;40(4):291-304
- CountryRepublic of Korea
- Language:English
-
Abstract:
Immediate implant placement and immediate loading in the anterior maxilla is an effective approach to rapidly address aesthetic demands. To achieve successful outcomes, bone quality, soft tissue condition, and accurate implant positioning are essential factors. For optimal results, procedures such as bone augmentation, precise implant placement, and, when necessary, soft tissue grafting should be considered. Furthermore, provisional restoration play a crucial role in achieving the desired appearance of prosthetic restorations and improving the aesthetics of the soft tissue. By performing soft tissue molding through provisional restoration, an ideal emergence profile can be established, which can be subsequently transferred to the final prosthesis, leading to a functional and aesthetically pleasing restoration. This approach aims to optimize the aesthetic outcomes in the anterior region while preserving the natural contours of the peri-implant soft tissue. In this case, a patient requiring extraction of maxillary anterior tooth underwent immediate implantation and alveolar bone grafting using a guide fabricated in advance from CT data. The patient received a provisional restoration on the same day. Subsequent steps included transitioning from the provisional prosthesis to the definitive prosthesis, ultimately achieving an aesthetically pleasing and functional implant restoration. We report this case to highlight the successful approach to maxillary anterior implant rehabilitation.
