Esthetic zone rehabilitation through immediate implant placement : A case-based approach

Authors: Sahar Kadri, Nour Saida Ben Messoud, Ghada Bouslama, Lamia Oualha, Souha Ben Youssef.

Abstract

Background: Rehabilitation of missing teeth in the esthetic zone presents significant clinical challenges, requiring the preservation of hard and soft tissues to achieve functional and esthetic outcomes. Immediate implant placement following atraumatic extraction has become a predictable approach when anatomical and biological conditions are favorable.

Case Presentation: This report describes the management of a 22-year-old male patient requiring extraction and immediate implant placement in the anterior maxilla. Careful pre-surgical evaluation, including three-dimensional imaging and assessment of bone and soft tissue quality. Atraumatic extraction techniques preserved the buccal plate and surrounding soft tissue architecture. Implant placement was prosthetically driven, ensuring optimal three-dimensional positioning, primary stability, and soft tissue support. Guided-bone-regeneration (GBR) was performed using a xenograft and cross-linked collagen membrane. Immediate provisional restoration was used to guide soft tissue healing and emergence profile.

Results: At follow-up, the implant achieved stable osseointegration, and soft tissue contours were maintained, resulting in satisfactory esthetic and functional outcomes. No peri-implant complications were observed, and patient satisfaction was high.

Conclusion: Immediate implant placement’s success in esthetic zone relies on thorough clinical assessment, atraumatic extraction, prosthetically guided implant positioning, and appropriate tissue augmentation when necessary. This case underscores the importance of integrating surgical and prosthetic considerations to achieve long-term esthetic and functional results.

Keywords: Immediate implant, esthetic zone, atraumatic extraction, soft tissue management, bone grafting, provisional restoration.

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