Optimizing the Esthetic Potential of Implant Restorations Through the Use of Immediate Implants With Immediate Provisionals

BACKGROUND: Few things in clinical periodontics are more challenging or potentially more rewarding than gaining an ideal result with implant-supported crowns in the esthetic zone. METHODS: This article describes a novel approach to maintaining soft tissue health and support following immediate implant placement and immediate insertion of minimally functional single-unit screw-retained fixed provisionals. RESULTS: Excellent tissue health, soft tissue profiles, and maintenance of septal bone height are documented with clinical photographs and 1-year follow-up radiographs. CONCLUSION: In addition to maximizing the chances for an optimal esthetic result, this technique also allows precise adjustment and stability of occlusal relationships for provisionals in the perioperative period.