INTRODUCTIONImmediate implant placement and immediate restoration aim at the preservation of the peri‐implant bone and soft tissues to achieve long‐term osseointegration in combination with the reestablishment of a natural, and thus, esthetic peri‐implant mucosa (De Kok, Chang, Moriarty & Cooper, ; Kan, Rungcharassaeng & Lozada, ; Noelken, Morbach, Kunkel & Wagner, ). Although the concept of immediate functional implant restoration has been established almost 20 years ago (Wöhrle, ), it is still subject of a controversial discussion (Chen & Buser, , ). Clinical studies that document high survival and success rates are available for short‐term follow‐up (De Bruyn et al., ); however, long‐term results are still rare (Cooper et al., ; Cosyn et al., ; Mertens & Steveling, ).The contemporary patient's demands are not only a “functionally stable implant”, but moreover an esthetic and functional rehabilitation in short treatment time (Arora, Khzam, Roberts, Bruce & Ivanovski, ; Fugl et al., ). Thus, on principle, the treatment concept of immediate insertion and provisionalization seems to fit perfectly to the anterior esthetic zone, but soft tissue changes and the esthetic results around those implant restoration are not always favorable. It is well known that immediate implant insertion using a flap technique without grafting the facial defect
Clinical Oral Implants Research – Wiley
Published: Jan 1, 2018
Keywords: ; ; ; ;
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