PDF: A Chairside Technique to Preserve the Anatomy of the Pre-Existing Crown in Immediate Implant Provisionalization: A Case Report

Immediate implant placement is a well-accepted protocol and has become a viable treatment option (De Rouck et al., 2008).

This procedure can be associated with immediate provisionalization, reducing treatment time and preserving the periodontal architecture that contributes to final esthetics.

It has been reported that procedures for immediate provisionalization require laboratory work (Block et al.; Chen & Pow, 2008), which is time and cost consuming. 

Read also: PDF: Complicated crown fracture: a case report

Margeas (2006) and Chen & Pow, reported the use of the patient’s natural teeth as a provisional piece in order to preserve the tooth emergence profile. 

However, most tooth extractions in which provisionalization is indicated are related to teeth treated with metal ceramic crowns or extreme crown reconstructions.

These crowns are difficult to handle when adjusting the cervical margin to the abutment. Herein, a method for immediate implant provisionalization is described and illustrated in detail.

This method preserves the emergence profile of the peri-implant tissue, replicating the pre-existing anatomical crown with acrylic.