Immediate Implant in The Esthetic Zone: A Three Year Clinical, X-Ray and CBCT Follow-Up of Peri-Implant Tissues

Nowadays, with technological advances in implantology and knowledge of healing patterns after tooth extraction, rehabilitations of patients with immediate esthetic needs, with adequate success rates and favorable esthetic outcomes, are a reality. However, case selection criteria should be followed to ensure high-quality functional and esthetic results and a good prognosis, particularly in patients with unfavorable gingival phenotype. This report describes a three-year clinical and cone beam computed tomography followup of post extraction immediate dental implant placement in the aesthetic region (teeth #11 and #21), provisionalization using the crown of the freshly extracted natural teeth, subsequent rehabilitation and threeyear follow-up. Results are compared with findings reported in recent studies, and the ideal treatment to maintain gingival architecture is discussed.