Immediate implantation is a well-acknowledged treatment methodology that has been shown to have high success rates. First introduced in 1976, immediate implantation followed by tooth extraction offers many advantages which include reduced treatment time, preservation of crestal bone, minimizing soft tissue changes in esthetic zone, increased patient satisfaction, and treatment acceptance. Immediate implants are placed in the extracted socket of the tooth to be replaced. The major difficulty of obtaining predictable results could be associated with the tissue's architectural modification. These changes may occur even before extraction by loss of buccal and/or interproximal tissues, resulting in gingival recession and loss of interdental papilla. This case report describes extraction of fractured maxillary central incisors, followed by immediate implant placement in the prepared socket, and provisional temporization followed by definitive restoration after 4 months of implant placement. Immediate implantation with immediate provisionalization has provided the patient with immediate esthetics and function.
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