Esthetic zone Immediate Implant Placement and Restoration with Prefabricated Provisional Crown

Nima S. Massoomi DMD, MEd, MD, Oral and Maxillofacial Surgery, University of the Pacific-Arthur A. Dugoni School of Dentistry, San Francisco, CA
2 year prospective study, currently still in progress. We are presenting the initial data on a novel approach to immediate implant placement in the esthetic zone, with PREFABRICATED provisional crowns using 3D printing technology. Currently, oral rehabilitation with dental implant-supported prostheses is believed to be a reliable procedure with high success rates. The general belief that detailed pre-surgical treatment planning is considered fundamental for future implant success and predictability led to accepting the concept of “restorative-driven implant placement”, a.k.a. “top-to-bottom concept”. With the aid of recent advances in 3D printing, we will talk about a novel way to PREFABRICATING the restorative parts of the implants, prior to the actual surgery. This is accomplished using 3D modeling in conjunction with an accurate implant planning software that creates surgical guides for the placement of immediate implants, after extraction of teeth. The dimension of the implant has been evaluated at 4 points, versus pre-operative planned placement in the software. The analysis of the pre-op and post-op CBCT data presents a predictable and promising new direction in implant dentistry: Prefabrication of provisional crowns prior to placement of immediate implants in the esthetic zone.