Abstract

A CASE OF IMMEDIATE IMPLANT PLACEMENT AND PROVISIONALIZATION WITH NATURAL TEETH: A 3 YEAR FOLLOW-UP

*Dr. Kamal Ramjee Vaska MDS and Dr. Ravalika N. Kothuri MDS

Abstract

Research demonstrated positive esthetic outcomes for replacing a tooth in the esthetic zone by an immediate implant placement and provisionalization (IIPP). This case report presents a clinical case of an immediate implant placement post-extraction with provosionalization where, in order to maintain the esthetics and preserve the soft tissue profile as close to natural as possible, the same extracted teeth was used for temporization along with abutment. The patient gave a history of trauma few days before his visit. Clinical examination was done followed by a radiographic interpretation which revealed a vertical fracture in relation to tooth number 15. A poor prognosis was expected of the fractured tooth and therefore extraction followed by replacement was planned. Extraction was done in the manner so as to not disfigure the labial aspect of the tooth which was intended to be used for provosionalization. The soft tissue profile or emergence of natural tooth contour was well preserved and restored by using the same extracted natural tooth as a provisional for the placed implant to achieve improved esthetics and save time. The primary purpose of provisionalization was to avoid social embarrassment and to create an emergence profile as replacement was to be done in the esthetic zone. The patient was followed up for 3 years at regular intervals before giving a permanent crown. By employing immediate implant treatment protocol along with using the same extracted tooth for preparing a provisional, advantages such as emergence profile, shorter operating period, improved aesthetics, immediate loading and faster healing were achieved which resulted in complete patient satisfaction.

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