Research Information System
Turkish Association of Oral and Maxillofacial Radiology 32nd Scientific Congress, Antalya, Turkey, 5 - 09 November 2025, pp.471-472, (Summary Text)
OBJECTIVE: There is an increasing trend toward immediate single-tooth implant placement in the
esthetic zone, preferably with an immediate provisional restoration. According to Slagter et al., immediate
implant placement with provisionalization results in slightly less peri-implant bone loss compared with
delayed provisionalization. Other studies indicate a slightly higher risk of implant loss in extraction
sockets; however, immediate implants better preserve peri-implant bone and are generally well accepted
by patients, likely due to the reduced trauma of minimally invasive flapless procedures.
CASE PRESENTATION: A 45-year-old female patient with no systemic disease presented to the
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gazi University, with pain in tooth #21.
Clinical and radiographic evaluation revealed external root resorption. Given her high esthetic
expectations, flapless immediate implant placement with provisionalization was planned. Under local
anesthesia, atraumatic tooth extraction was performed, and the implant was positioned to align with the
cingulum of adjacent teeth. Thin buccal bone was augmented using xenograft and a collagen membrane.
The extracted crown was modified and stabilized for provisional restoration. At four months, a PEEK
abutment and temporary prosthesis were applied to guide gingival shaping. At six months, soft tissue
contours and papillae were restored.
RESULT: Immediate implant placement with provisionalization reduces the need for a second surgery
and ensures an esthetic provisional, making it a preferred approach in clinical practice.