Immediate Implant in The Esthetic Zone: A Three Year Clinical, X-Ray and CBCT Follow-Up of Peri-Implant Tissues

Abstract

Nowadays, with technological advances in implantology and knowledge of healing patterns after tooth \nextraction, rehabilitations of patients with immediate esthetic needs, with adequate success rates and \nfavorable esthetic outcomes, are a reality. However, case selection criteria should be followed to ensure \nhigh-quality functional and esthetic results and a good prognosis, particularly in patients with unfavorable \ngingival phenotype. This report describes a three-year clinical and cone beam computed tomography followup of post extraction immediate dental implant placement in the aesthetic region (teeth #11 and #21), \nprovisionalization using the crown of the freshly extracted natural teeth, subsequent rehabilitation and threeyear follow-up. Results are compared with findings reported in recent studies, and the ideal treatment to \nmaintain gingival architecture is discussed.