Duration: 15 minutes, 14 seconds

Author: Dr. Robert Silva

Immediate Implant Placement in the Esthetic Zone


In this article, we will discuss the concept of immediate implant placement in the esthetic zone. We will explore a specific case study where a patient has experienced dental issues due to a bicycle accident and subsequent failed teeth whitening treatments. The article will also touch upon the patient’s periodontal condition and the treatment plan that involves the extraction of the affected tooth and immediate implant placement.

The Patient’s Dental History and Concerns

The patient, who experienced a bicycle accident in 1988, has been dealing with darkened anterior upper teeth as a result. Despite multiple attempts to whiten the teeth, these treatments have yielded little to no success. As a result, the patient has become increasingly self-conscious about the appearance of their smile.

Failed Teeth Whitening Treatments

Due to the severity of the dental discoloration, the patient has undergone several teeth whitening treatments, all of which have failed to provide the desired results. This has left the patient frustrated and eager to explore alternative solutions.

Assessment of Periodontal Health

Before proceeding with any dental procedure, it is essential to evaluate the patient’s periodontal health. In this case, the patient has a healthy periodontal situation with minimal inflammation and shallow probium depths. This indicates that the gums and supporting structures are in good condition, which is a positive factor for the planned treatment.

Altered Passive Eruption and Gummy Smile

One notable issue observed in the patient’s smile is the presence of altered passive eruption. This condition results in an excess display of gum tissue and gives the appearance of a gummy smile. The patient finds this aesthetic concern further impacting their self-confidence.

Treatment Plan: Immediate Implant Placement

Considering the patient’s dental history, failed teeth whitening treatments, and altered passive eruption, the chosen treatment plan involves extracting the resorbed tooth and immediate implant placement. This approach not only addresses the aesthetic concern but also restores the functionality of the affected tooth.

Benefits of Immediate Implant Placement

Immediate implant placement offers several advantages. First, it reduces the total treatment time as the implant can be placed at the same time as tooth extraction. This eliminates the need for a separate healing period between these two procedures. Second, it preserves the surrounding bone and soft tissues, allowing for better aesthetic results. Finally, immediate implant placement promotes patient satisfaction by providing a prompt solution to their dental problem.


Immediate implant placement in the esthetic zone is an effective approach for addressing dental issues caused by a variety of factors. In this specific case, the patient’s darkened anterior upper teeth, failed whitening treatments, altered passive eruption, and gummy smile appearance were all successfully addressed through this treatment plan. By considering the patient’s unique concerns and utilizing the benefits of immediate implant placement, a desirable outcome was achieved.

Frequently Asked Questions

1. Is immediate implant placement suitable for everyone?

Immediate implant placement may not be suitable for every patient. It depends on various factors such as the condition of the surrounding tissues, bone quality, and overall oral health. It is important to consult with a dental professional to determine the best course of action for each individual case.

2. How long does the immediate implant placement procedure take?

The duration of the immediate implant placement procedure can vary depending on several factors, including the complexity of the case and the number of implants being placed. On average, the procedure can take anywhere from one to two hours per implant.

3. How long is the recovery period after immediate implant placement?

The recovery period after immediate implant placement can vary from patient to patient. In general, it takes several months for the implant to fully integrate with the jawbone. During this time, the patient needs to follow proper oral hygiene practices and avoid excessive pressure on the implant area.

4. Are there any risks or complications associated with immediate implant placement?

As with any surgical procedure, there are certain risks and potential complications associated with immediate implant placement. These can include infection, implant failure, damage to surrounding structures, and nerve damage. However, with proper planning and execution by a skilled dental professional, these risks can be minimized.

5. How long do immediate implants last?

With proper care and maintenance, immediate implants can last a lifetime. Regular dental check-ups, good oral hygiene practices, and avoiding habits such as smoking can significantly increase the longevity of the implant.

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