Esthetic Rehabilitation of the Maxillary Anterior Region with Immediate Implant Placement, Loading, and Grafting: A Case Report
TL;DR
This case report presents the management of an 18-year-old female patient with high esthetic demands who underwent IIP, grafting, and provisionalization in the maxillary anterior region and indicates that, with proper case selection, sufficient primary stability, and careful prosthetic planning, immediate implant loading can provide reliable and predictable outcomes.
Abstract
Immediate implant placement (IIP) and loading protocols have emerged as predictable treatment strategies in contemporary dentistry, particularly in the esthetic zone. These approaches offer advantages such as reduced treatment time, preservation of peri-implant soft tissue architecture, and improved patient satisfaction. However, biological and prosthetic prerequisites, including adequate bone and soft tissue support and primary stability, must be fulfilled to ensure long-term success. This case report presents the management of an 18-year-old female patient with high esthetic demands who underwent IIP, grafting, and provisionalization in the maxillary anterior region. Following atraumatic extraction and implant placement with sufficient stability, grafting was performed and a screw-retained provisional restoration was delivered within 24 h. After a 3-month healing period, definitive zirconia implant-supported restorations were fabricated and cemented. Over a 10-month follow-up, no complications were observed, and satisfactory esthetic and functional outcomes were achieved. The results indicate that, with proper case selection, sufficient primary stability, and careful prosthetic planning, immediate implant loading can provide reliable and predictable outcomes.