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- Title
Timing implant provisionalization: Decision‐making and systematic workflow.
- Authors
Esquivel, Jonathan; Gomez Meda, Ramon; Villarroel, Milko
- Abstract
Objective: Provisionalization is an important step to achieve esthetic results in implant cases, and many different techniques for provisional restoration fabrication have been described. However, depending on the clinical scenario, the provisionalization strategy will require different approaches and timing. The clinician should modify the provisional restorations efficiently to reduce the number of disconnections from the implant, as repeated disconnections may have biological consequences. This article aims to schematize different scenarios requiring implant provisionalization and propose strategies to help the clinician condition the peri‐implant tissues, respecting perio‐prosthodontic fundamentals for soft tissue, biological, and esthetic stability. Clinical Considerations: The clinical outcomes of modern implant therapy aim to achieve results that emulate natural dentition. Different scenarios may require adjunct therapy, including hard‐ and soft‐tissue grafting, which complicates treatment. The provisionalization strategy will vary depending on the initial condition of the tissues, the need for reconstructive procedures, and the timing of implant placement. Selecting the right strategy based on the case type is necessary to reduce treatment time and complications associated with inadequate prosthetic handling of the soft tissues. Clinical Significance: Proper emergence profile conditioning through provisional restorations will allow for biologically sound and esthetically pleasing outcomes in implant restorations.
- Subjects
DENTAL implants; DENTAL fillings; ORTHODONTICS; COMPLICATIONS of prosthesis; COSMETIC dentistry; DENTITION; TREATMENT effectiveness; STRATEGIC planning; PROSTHODONTICS; PERIODONTICS; TIME
- Publication
Journal of Esthetic & Restorative Dentistry, 2024, Vol 36, Issue 6, p858
- ISSN
1496-4155
- Publication type
Article
- DOI
10.1111/jerd.13197