Immediate implant with provisionalization and soft tissue grafting after 4-year follow-up

Glaudemir Reinaldo Cavalcanti de Siqueira, José Rodolfo Tavares, Ricardo Ferreira Pedrosa, Rafael Amorim Cavalcanti de Siqueira, Gustavo Vicentis de Oliveira Fernandes*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


INTRODUCTION: This paper presents a case report of immediate implant placement (IIP) with a provisionalization technique to restore function and esthetics with follow-up after 4 years. CASE PRESENTATION: Minimally traumatic extraction was performed with IIP, soft-tissue grafting, and immediate provisional crown. Six months after optimal healing, the patient was submitted to an esthetic restorative work through veneers in lithium disilicate. Fourteen-month and 4-year follow-up visits revealed stability of the peri-implant soft-tissues with peri-implant health status, with the evaluation of the pink and white esthetic score, yielding to mean scores, respectively, in 14 months of 11.62 ± 2.07 (pink esthetic score [PES]) and 18.25 ± 1.46 (PES/white esthetic score [WES]) and in 4 years of 11.0 ± 1.32 (PES) and 17.62 ± 0.65 (PES/WES). Intraoral digital radiographs showed minimal crestal bone level changes throughout the follow-up period. Thus, IIP is a sensitive technique procedure, and a 3D implant position is crucial for success. CONCLUSION: Immediate implant with grafting to fill the gap and soft tissue augmentation led to less horizontal changes and stable mucosal margin, and immediate provisionalization helped to maintain soft tissue architecture, and proper case selection is key for clinical success.

Original languageEnglish
Pages (from-to)32-38
Number of pages7
JournalClinical advances in periodontics
Issue number1
Publication statusPublished - 1 Mar 2022


  • Dental implants
  • Esthetics
  • Immediate dental implant loading
  • Rehabilitation
  • Ttooth extraction


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