To assess the clinical, radiographic, and patient-reported outcome measures, including the success of screw-retained monolithic zirconia implant-supported restorations with CAD/CAM titanium abutments in the posterior region during a 1-year follow-up.Methods: In a prospective case series, 50 molar sites in the posterior region of 46 patients with a minimum age of 18 years and sufficient bone volume and anatomical conditions for placing an implant (≥8 mm) and an anatomical restoration were included. Parallel-walled implants with a conical connection were inserted in a twostage surgical procedure. Implant uncovering and healing abutment placement occurred 12 weeks after insertion. Two weeks after mucosa healing, a screw-retained monolithic zirconia restoration with a CAD/CAM titanium abutment was placed.Clinical, radiographic, and patient-reported outcome measures were collected at baseline before implant placement and then during the 1 month and 1 year follow-ups.Results: At the 1 year follow-up, 49 restorations could be evaluated. The plaque accumulation, presence of calculus, bleeding tendency and peri-implant inflammation indices were low, representing healthy peri-implant conditions. The mean marginal bone level change between the 1 month and the 1 year follow-up was À0.17 ± 0.46 mm. The mean patient satisfaction was high. The restoration success was, according to the modified USPHS criteria, 95.9%. Conclusion:Monolithic zirconia implant-supported restorations with CAD/CAM titanium abutments have very good clinical, radiographic and patient-reported outcomes after 1 year in function.

Introduction. Immediate implant placement and immediate chairside provisionalization in the esthetic zone require meticulous treatment planning. A digital workflow that combines intraoral scans and a cone beam computed tomography scan can be used to visualize the surgical and restorative aspects of the treatment and to plan a prosthetically driven implant position. A digital workflow in implant dentistry enables the prefabrication of an individualized CAD/CAM temporary restoration, based on the planned implant position. This could be a predictable method to deliver a screw-retained temporary restoration, directly after static computer-assisted immediate implant surgery. Interventions. Three patients with a failing tooth in the maxillary esthetic zone were treated with immediate implant placement and chairside provisionalization using this digital workflow. After 3 months, a final restoration was placed. Clinical, radiographic, and patient-reported outcome measures were collected prior to implant treatment, 6 weeks after placing the temporary restoration and then 1 month and 1 year after placing the final restoration. Outcomes. At the 1-year follow-up, healthy soft tissues were observed, and peri-implant bone levels were stable. Patient satisfaction after the treatment was high. Conclusion. The three reported cases demonstrate the potential for predictable immediate implant placement and chairside provisionalization using a digital workflow.