Atraumatic Extraction of an Anterior Tooth with Immediate Implant Placement and Provisional Restoration: A Case Report

Abstract

Introduction: Implant dentistry focuses on restoring lost teeth by achieving both function and aesthetics through fixed prostheses. Rehabilitating the anterior maxilla presents a significant challenge due to high aesthetic demands. Advancements in techniques have demonstrated greater success when atraumatic extraction, immediate implant placement, bone grafting, and provisional restoration are performed simultaneously. Objective: To present a clinical case involving the atraumatic extraction of tooth 21, immediate implant placement, xenografting, and a screw-retained provisional restoration. Case Report: Atraumatic extraction was performed while preserving the alveolar framework. The implant was placed in the palatal bone remnant with minimal primary stability, enabling the fabrication of a screw-retained provisional restoration. The alveolar gap was filled with bovine xenograft. The provisional restoration remained in infraocclusion for six months, during which follow-up imaging confirmed successful vertical and horizontal bone preservation. Additionally, the gingival framework was maintained, achieving an optimal emergence profile. Conclusion: This case adhered to contemporary best practices, allowing for alveolar framework preservation and a satisfactory outcome without the need for connective tissue grafting.