Natural Teeth Used as Provisionals in Immediate Implant Loading in the Maxilla

Abstract

This work showed the possibility of using the patient's extracted teeth as provisional teeth during the period of osseointegration, preserving aesthetics and favoring gingival tissue healing with a correct emergence profile and maintenance of the gingival papillae.

Immediate Placement and Loading of Maxillary Single- Tooth Implants: A 3-Year Prospective Study of Marginal Bone Level

“…Insertion of a provisional restoration on titanium abutment without any later abutment manipulation helped to protect the initially forming blood clot and presented a template for soft tissue contouring of the already injured gingiva. 25 On the other hand, the presence of a glaze layer on the acrylic provisional improved soft tissue attachment and this may be due to the smooth surface of the restorations with low roughness that exhibit a least amount of bacterial adhesion. 37…”

“…A common problem encountered when performing the prosthetic phase is that the emergence profile of the final restoration may differ from the one of the provisional leading eventually to disturbance of soft tissue interface and collapse of interdental papilla. 25 Introduction of Computer Aided Design/Computer Aided Manufacturing (CAD/CAM) technology to the dental field widened the scope of the design and application of all-ceramic restorations. Prediction of optimal implant position with respect to anatomical limitations and prosthetic principles, such as occlusion and function, is becoming a basic integrated feature in the software module of many CAD/CAM systems.…”