Immediate Flapless Implant Placement and Provisionalization: Challenge for Optimum Esthetics and Function: A Case Report

摘要

This report presents a case of tooth extraction and immediate flapless implant placement followedrnby fabrication of transitional restoration. The tooth was extracted atraumatically with the use of arnperiotome followed by careful debridement. An osteotomy was performed up to 5 mm beyond thernbase of the socket and depth using the alveolar crest as a landmark, following a slightly palatalrndirection. The implant shoulder was inserted 3 mm below the cementoenamel junction of thernadjacent tooth. The interproximal distance from the neighboring teeth was 3 mm. No membranesrnand/or grafts were used. Initial impressions were taken immediately after implant placement; 6 hoursrnlater a well-polished and slightly overcontoured (at the distal-mesial aspect) acrylic crown was fixedrnonto the implant. There were no contacts in the centric and lateral positions. Five months later, thernocclusion was modified allowing slight contacts in the centric position for an additional 2 months.rnThe final prosthetic restoration was placed 2 months later (7 months after surgery), consisting of a fullrnceramic crown cemented on a customized metal ceramic UCLA abutment. The technique maintainedrnthe integrity of hard and soft tissues and created a very favorable esthetic result. It also provided thernpatient with a transitional fixed restoration and reduced the time required for therapy completion.rnBecause research on this field is limited, further investigation is required to support the results of thisrnreport, despite the promising clinical outcome