Computer‐Guided Immediate Implant Placement and Predigitally Designed Immediate Provisionalization

Abstract

IntroductionImplementation of digital technology in patient care has allowed precise and personalized implant restorations to be delivered with unprecedented speed. This case report demonstrates that through digital planning, successful guided placement of an immediate implant can be achieved, including bone grafting and immediate provisionalization, using a predesigned and prefabricated restoration.Case PresentationA healthy 38‐year‐old female patient with high esthetic demands presented with an unrestorable maxillary left first premolar. Main challenges in this case included the presence of an impacted adjacent second premolar and the desire of the patient for a fixed provisional prosthesis. The treatment plan involved extraction of the tooth, computer‐guided immediate implant placement, and immediate provisionalization with a digitally designed, presurgically fabricated crown. After immediate delivery of the provisional crown, which facilitated sculpting of the peri‐implant soft tissue, minimal adjustment was required, and there was no need for suturing to seal the grafted socket. After delivery of the final restoration and 10 months of functional loading, evaluation of the implant and restoration revealed stable crestal bone levels with an esthetically pleasing result and high patient satisfaction.ConclusionsDigital technology can play a significant role in implant therapy. Select cases can benefit from the digital workflow to facilitate guided immediate implant placement and delivery of a digitally prefabricated provisional restoration. Further studies are needed to optimize the generalizability of this approach.