Immediate Loading and Implant Placement With Bone Grafting in Severely Proclined Anterior Mobile Teeth in the...

Achieving success in dental implant therapy within the esthetic zone involves not only ensuring that the implant properly integrates with the surrounding bone but also achieving a visually pleasing outcome. It is challenging to create a seamless and balanced appearance of the gums around the implant, in harmony with the natural teeth nearby. To replace a missing tooth in the esthetic zone, immediate implant placement and provisionalization, a meticulously researched and dependable method, have received recognition as a predictable technique demanding fewer surgical procedures. This case report demonstrates how to replace failing upper central and lateral incisors while maintaining the gum esthetics by using immediate implant placement and provisionalization. In order to reduce trauma to both soft and hard tissues, the upper right and left central and lateral incisors were extracted without elevating the gum flap. Subsequently, a dental implant was promptly inserted using a surgical guide with bone graft and furnished with a provisional crown that did not contact the opposing teeth. Throughout the healing period, no notable negative effects were observed in both clinical assessments and X-rays. This proposed treatment approach offered the patient immediate improvements in esthetics, functionality, and comfort without encountering any complications.