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Preservation of Existing Soft‐Tissue Contours in the Transition from a Tooth to an Implant Restoration in the Esthetic Zone Using a Flapless Approach: A Clinical Report
Authors:Mohamad Koutrach DDS  FACP  Arthur Nimmo DDS  FACP
Institution:1. Assistant Professor, Boston University Institute for Dental Research & Education, Dubai, UAE;2. Adjunct Assistant Professor, Department of Restorative Sciences and Biomaterials, Boston University Goldman School of Dental Medicine, Boston, MA;3. Professor and Director, Predoctoral Implant Dentistry, Department of Prosthodontics, University of Florida College of Dentistry, Gainesville, FL
Abstract:Two‐stage placement of a dental implant is a well‐established method for restoring a missing anterior tooth; however, replacement of an anterior tooth by using two‐stage implant surgery may result in changes in the interdental papilla height and loss of alveolar bone with compromised esthetic results. Alternatively, the use of a one‐stage minimally invasive surgical technique followed by immediate provisionalization may facilitate achievement of esthetic and functional success with minimal discomfort and clinical time. This article presents a clinical case with a single anterior tooth replacement, illustrating ridge preservation with healing, delayed implant placement with immediate provisionalization of the implant to support the soft tissue, and a method of recording the soft‐tissue contour in the final impression to achieve an optimal esthetic result.
Keywords:Immediate provisionalization  flapless surgery  emergence profile  anatomical healing abutments
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