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  • Title: Preservation of existing soft-tissue contours in the transition from a tooth to an implant restoration in the esthetic zone using a flapless approach: a clinical report.
    Author: Koutrach M, Nimmo A.
    Journal: J Prosthodont; 2010 Jul; 19(5):391-6. PubMed ID: 20345743.
    Abstract:
    Two-stage placement of a dental implant is a well-established method for restoring a missing anterior tooth; however, replacement of an anterior tooth by using two-stage implant surgery may result in changes in the interdental papilla height and loss of alveolar bone with compromised esthetic results. Alternatively, the use of a one-stage minimally invasive surgical technique followed by immediate provisionalization may facilitate achievement of esthetic and functional success with minimal discomfort and clinical time. This article presents a clinical case with a single anterior tooth replacement, illustrating ridge preservation with healing, delayed implant placement with immediate provisionalization of the implant to support the soft tissue, and a method of recording the soft-tissue contour in the final impression to achieve an optimal esthetic result.
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