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Implant Placement and Immediate Provisionalization After Alveolar Ridge Reconstruction in the Aesthetic Zone Using a
Vincent J J Donker1, Henny J A Meijer1,2, Arjan Vissink1
1Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Clinical Oral Implants Research
|February 16, 2026
Summary
A digital workflow for alveolar ridge reconstruction and immediate implant provisionalization shows excellent short-term results. This approach achieves high implant survival and patient satisfaction for single-tooth replacements in the aesthetic zone.
Area of Science:
- Dentistry
- Oral Surgery
- Digital Dentistry
Background:
- Extensive bone defects in the aesthetic zone necessitate alveolar ridge reconstruction for single-tooth replacement.
- Digital workflows, integrating CBCT and intraoral scanning, facilitate 3D assessment and guided implant surgery.
- Immediate provisionalization is a key aspect of restoring function and aesthetics post-reconstruction.
Purpose of the Study:
- To evaluate the clinical, aesthetic, radiographic, and patient-reported outcomes of delayed implant placement with immediate provisionalization.
- To assess the efficacy of a digital workflow in reconstructed alveolar ridges.
- To determine the success rates of implants and restorations in the aesthetic zone.
Main Methods:
- A prospective case series involving 30 patients with significant buccal bone defects.
- Alveolar ridge reconstruction followed by delayed implant placement after 4 months, utilizing a digital workflow.
- Immediate provisionalization with a prefabricated restoration, followed by definitive restoration 3 months later.
Main Results:
- High implant survival rate (97%) and restoration survival/success rates (100%/97%) at 1 year.
- Favorable aesthetic outcomes with a mean Pink and White Esthetic Score of 14.0 (2.9).
- Minimal marginal bone loss (-0.25mm mesially, -0.21mm distally) and high patient satisfaction (9.3/10).
Conclusions:
- A digital workflow provides favorable short-term outcomes for single-tooth implants following alveolar ridge reconstruction.
- The technique supports excellent clinical, aesthetic, radiographic, and patient-reported results.
- This digital approach is effective for immediate provisionalization in complex cases.
