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Thursday, June 6
Friday, June 7
Saturday, June 8
Sunday, June 9

Session III: Immediate Loading: When and Where for Whom?


Immediate Implant Provisionals: Surgical and Restorative Considerations to Optimize Esthetic Outcomes


Brahm A. Miller
Sunday, June 9
10:15 am - 11:00 am
Grand Ballroom (Salon A-E)

The placement of implants followed by immediate provisional restorations has been discussed in the literature and is carried out clinically with increasing frequency. It is suggested that this approach can result in better esthetic outcomes, especially in the highly sensitive anterior maxilla. Despite the presumed advantages, however, this technique remains controversial. Therefore, this session will address the following: whether provisionalization altogether is a necessary step; the compelling argument in favor of this step; the relationship of provisionalization to implant surgical decisions; the steps required to correct provisional restoration designs, both in the clinic and in the laboratory; the accurate transfer of emergence profiles developed through provisionalization to the technician; and the relationship of provisionalization to the definitive abutment design.


Brahm A. Miller, DDS, MSC, FRCD(C), received his DDS from McGill University and completed his postgraduate prosthodontics certification at the Medical College of Virginia. He is a Fellow and Examiner of the Royal College of Dentists of Canada, a member and past president of the British Columbia Society of Prosthodontists, a Fellow of the International Congress of Oral Implantologists, and a member of the Association of Prosthodontists of Canada and the American Academy of Esthetic Dentistry. Dr Miller is currently an associate clinical professor and sessional lecturer at the University of British Columbia and a member of several consultant and editorial boards, including those for the Journal of Esthetic and Restorative Dentistry and the International Journal of Periodontics and Restorative Dentistry. He lectures extensively internationally and publishes on the subjects of ceramics and advanced implant esthetics. He maintains a full-time private practice with the Imperio Group Dental Health Specialists in Vancouver with periodontists Dr Sonia Leziy and Dr Priscilla Walsh.