Immediate Implant Placement, Immediate Load With Same-Day Fully Digital Fabrication of a Screw-Retained Provisional Implant Prosthesis.

This article describes the use of technology capable of converting a failed dentition to a full-arch screw-retained implant-supported provisional restoration in one day using a fully digital restorative protocol. With this expedited digital treatment, the transition to a restored dentition is completed without the need for any physical impressions. Predicated on facially driven virtual smile designs, sophisticated engineering designs, complex algorithms, artificial intelligence, and novel laboratory and clinical workflows, the protocol allows for streamlined, same-day digital delivery of an in-house 3D-printed provisional prosthesis after implant placement surgery.

Benchmark for Tooth Replacement: Immediate Implant With Immediate Provisional Restoration. Outcome Analytics From 29 Years of Documentation.

This article focuses on evidence-based documentation of immediate implant surgery with immediate provisional restoration. Since 1988 the author has documented 14,946 implant surgical sites as to protocol, size of implant, regenerative regimen, outcome, and long-term follow-up. There were 8,319 immediate implant sites: 2,493 were immediate implant/immediate provisional restorations (IIIPR), and 5,826 were immediate implant/no restoration (IINR). The cumulative success rate of IIIPR was 95.1%, while IINR was 94.5%. Patients and dentists were canvassed as to outcome satisfaction of the procedure and final esthetics. The author concludes that IIIPR compares favorably to IINR; IIIPR were reproducible in diverse clinical situations, produced a steady state of bone and soft tissue under loading, and provided high patient satisfaction.