Key factors for predictable aesthetics in single tooth immediate implantation with provisionalization

Early implant placement is one treatment option for implant therapy following a single-tooth extraction in the anterior maxilla. In this article some key factors are presented to analyze and follow in an effort to obtain a predictable and acceptable esthetic result. The creation of predictable peri-implant esthetics requires proper preservation of the osseous and soft tissues around the failing teeth, proper 3-D implant placement and proper understanding of the prosthetic management. The surgical technique presented here is characterized by tooth extraction without flap elevation, implant placement in a correct three-dimensional position, simultaneous contour augmentation on the facial aspect with connective tissue grafting combined with heterologous bone chips filled into the implant bone gap.