Immediate Tooth Extraction, Placement of a Tapered Screw-Vent¨? Implant, and Provisionalization in the Esthetic Zone: A Case Report

Immediate Tooth Extraction, Placement of a Tapered Screw-Vent¨? Implant, and Provisionalization in the Esthetic Zone: A Case Report
Schiroli, Guido MD, DDS*
June 2003
Implant Dentistry: Volume 12(2) June 2003 pp 123-131
Lippincott Williams & Wilkins
*Private practice, Genoa, Italy.
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Centerpulse Dental Division (formerly Sulzer Dental Inc.)
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Abstract
Purpose: This clinical report describes an immediate tooth extraction, followed by placement and provisional restoration of a dental implant in the prepared socket of a right maxillary central incisor.
Materials and Methods: The tooth was extracted with minimal hard and soft tissue trauma and without flap reflection. A flapless, transmucosal surgical approach was used to prepare the socket and insert a tapered implant. The implant was immediately restored with a provisional abutment and crown without occlusal contacts. An impression was made 22 days after implant insertion, and a definitive, all-ceramic restoration was placed 3 days later.
Results: During the period of provisional progressive loading, no significant soft tissue contraction was observed related to noninvasive operating techniques and the immediate insertion of the provisional restoration. The patient exhibited no clinical or radiologic complications through 8 months of clinical monitoring after loading.
Conclusion: The Tapered Screw-Vent¨? implant and all-ceramic restoration provided the patient with immediate esthetics, function, and comfort without any complications during the postloading follow-up period.
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