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Duration: 47 minutes, 11 seconds

Author: Dr. Todd Schoenbaum

Immediate Implant Provisionals in the Aesthetic Zone


Immediate implant provisionals in the aesthetic zone are a vital component of successful implant dentistry. This article will explore the three stages involved in creating immediate implant provisionals and the materials used to achieve optimal results.

Stage One: Surgical Site Protection and Gingival Volume Maximization

The primary goal of the provisional restoration in stage one is to protect the surgical site and maximize gingival volume. This stage is crucial in creating a stable environment for the implant and promoting optimal healing. The provisional restoration acts as a barrier, safeguarding the implant from external trauma.

Stage Two: Shaping Soft Tissue Architecture

In stage two, the focus shifts to shaping the soft tissue architecture around the implant without causing trauma. This involves carefully sculpting the gingiva to mimic the natural contours and shape. It is essential to ensure that the provisional restoration supports and maintains the desired soft tissue profile during the healing process.

Soft Tissue Shaping Techniques

  • Subepithelial connective tissue grafting
  • Papilla preservation flap technique
  • Provisional restoration contouring

Stage Three: Capturing the Soft Tissue Architecture

In stage three, the exact position of the soft tissue architecture is captured to replicate it in the laboratory. This involves taking accurate impressions and recording the soft tissue contours. The replicated soft tissue architecture will serve as a guide for creating the final restoration.

Materials Fabricated Prior to Surgery

Three crucial materials are fabricated before carrying out the immediate implant provisionals:

1. Acrylic Provisional Shell

An acrylic provisional shell is created, which acts as a temporary crown or bridge to restore function and aesthetics during the healing period. This shell is customized to match the patient’s natural teeth, providing them with a temporary replacement that looks and feels natural.

2. Delivery Matrix

A delivery matrix is fabricated, which helps in accurately transferring the provisional shell to the prepared implant site. This matrix ensures a seamless fit and avoids any disruption to the soft tissue architecture and surrounding structures.

3. Titanium Provisional Abutment

A titanium provisional abutment is fabricated to serve as the foundation for the provisional restoration. This abutment is designed to precisely fit the implant and provide stability and support to the acrylic provisional shell.


Immediate implant provisionals in the aesthetic zone play a vital role in the success of implant dentistry. The three stages involved in creating these provisionals, along with the use of specific materials, ensure optimal healing, soft tissue shaping, and accurate replication. By prioritizing the creation of immediate implant provisionals, dental professionals can provide their patients with functional and aesthetically pleasing temporary restorations.

Frequently Asked Questions

1. How long do immediate implant provisionals need to be worn?

The duration of wearing immediate implant provisionals varies depending on the patient’s healing progress and the complexity of the case. Your dentist will guide you on the appropriate duration for wearing the provisionals.

2. Can immediate implant provisionals be customized to match the patient’s natural teeth?

Yes, the acrylic provisional shell is customized to closely match the patient’s natural teeth, providing them with a temporary restoration that blends seamlessly with their smile.

3. Will the use of immediate implant provisionals affect the final restoration?

No, immediate implant provisionals serve as temporary restorations during the healing process. The final restoration is carefully crafted based on the replicated soft tissue architecture, ensuring optimal aesthetics and functionality.

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

While immediate implant provisionals are generally safe, there can be certain risks and complications. These may include temporary discomfort, minor adjustments needed for fit or aesthetics, and potential damage to the provisionals during the healing period. Your dentist will monitor your progress and address any concerns that may arise.

5. Can immediate implant provisionals be removed and replaced if needed?

Yes, in certain cases, immediate implant provisionals can be removed and replaced if necessary. This decision is made based on individual patient requirements and treatment planning.

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