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Pract Periodontics Aesthet Dent. 2000 Nov-Dec;12(9):817-24; quiz 826.

Immediate placement and provisionalization of maxillary anterior single implants: a surgical and prosthodontic rationale.

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Loma Linda University School of Dentistry, Department of Restorative Dentistry, 11092 Anderson Street, Loma Linda, CA 92354, USA.


Maintaining the existing gingival architecture of a failing maxillary anterior tooth is essential in achieving an optimal aesthetic result. Immediate implant placement has been advocated to minimize tissue loss following extraction. The incorporation of a customized temporary abutment and immediate fixed provisionalization facilitates maintenance of the gingival architecture for optimal aesthetics and eliminates the need for a removable provisional prosthesis during the healing phase. This article describes the surgical and prosthodontic approach of this procedure as well as its clinical rationale.

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