Immediate anterior implant placement into fresh extraction sockets has become a more common and predictable treatment modality in regard to osseointegration and implant survival. Current treatment strategies employ minimally invasive protocols that require fewer patient visits, decrease overall treatment time, and afford greater patient comfort and satisfaction. However, controversies still remain regarding esthetic outcomes related to clinical treatment procedures. This presentation will specifically focus on clinical research related to single-tooth, anterior, immediate implants placed in fresh extraction sockets with and without provisional restoration and/or bone grafting and how these procedures influence esthetic outcomes in regard to peri-implant soft tissue esthetics critical for abutment selection. Fabrication techniques of full-contoured provisional restorations and custom healing abutments will be shown as well as innovative prosthetic approaches in peri-implant soft tissue preservation. After this presentation, the attendee should understand the following concepts associated with immediate implant placement and provisional restoration: the impact of provisional restoration and/or bone grafting on peri-implant soft tissue thickness and esthetics; the interrelationship between implant depth, marginal bone stability, and soft tissue preservation; and innovative fabrication techniques for creating the proper supportive subgingival soft tissue contour for a full provisional restoration or custom healing abutment.
Stephen J. Chu, DMD, MSD, CDT, MDT, is a clinical associate professor in the Department of Periodontology and Implant Dentistry and the director of the Advanced CDE Programs in Aesthetic Dentistry at the New York University College of Dentistry as well as a partner in a private group practice specializing in esthetic, restorative, and implant dentistry. Dr Chu is a section editor for Practical Procedures & Aesthetic Dentistry and serves on the editorial review boards for the European Journal of Esthetic Dentistry and the Journal of Esthetic and Restorative Dentistry. He has published more than 15 articles, and he lectures worldwide on the subjects of esthetic, restorative, and implant dentistry. In addition to contributing chapters to several textbooks, Dr Chu has co-authored Fundamentals of Color: Shade Matching and Communication in Esthetic Dentistry, Second Edition (Quintessence, 2011) and Aesthetic Restorative Dentistry: Principles and Practice (Montage Media, 2008).
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