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Implant reconstruction of anterior dental discontinuity defects requires surgical expertise and restorative artistry. This treatment concept has been demonstrated to produce successful and predictable outcomes. [1, 2] By combining immediate extraction, immediate implant placement, and fabrication of an immediate screw-retained provisional crown, the surgeon controls gingival contours and ensures a favorable healing environment in the peri-implant space by avoiding the use of cement. Furthermore, use of an immediate screw-retained crown necessitates placement of the implant in a palatal position. This helps the surgeon to avoid an incorrect labial angle and the restorative difficulty that may result.
This presentation will demonstrate a step-by-step technique for immediate implant placement and fabrication of a screw-retained prosthesis in the anterior maxillary arch. Case selection and surgical criteria will be presented, in detail, in order to produce consistent and predictable results.
Maló P, de Araújo Nobre M, Lopes A, Ferro A, Gravito I. Clin Implant Dent Relat Res. 2014 Dec 23.
Slagter KW, den Hartog L, Bakker NA, Vissink A, Meijer HJ, Raghoebar GM. J Periodontol. 2014 Jul;85(7):e241-50.