Immediate Restoration In Anterior Teeth 6-Year Follow-Up

Six years of follow-up case confirmed that immediate implantation and restoration can achieve long-term stable aesthetic effect This case report features a female patient with the chief complaint of needing to restoration an anterior tooth due to traumatic dislocation. Preoperative SAC assessment was low risk. According to the 3A2B principle, on implant(Ankylos) was immediately placed, and bone powder was packed into the buccal space. The extracted tooth was modified and immediately restored. Four months postoperatively, a silicone impression was taken, followed by replacement with a zirconia ceramic abutment and a zirconia all-ceramic crown restoration. Eight months permanent restoration PES(12/12),WES(9/10); at six years PES(11/12),WES(9/10). During immediate implantation, it easier to control the direction of implant placement. This allows for sufficient space to form new bone on the buccal, contributing to a thicker bone wall that closely resembles the natural alveolar ridge. Consequently, this results in a root surface with a more pronounced convexity and soft tissue color compared natural adjacent teeth. The non-flap technique helps preserve the original soft tissue morphology as much as possible. Immediate implant and immediate restoration can achieve long-term stable aesthetic result for patients with single anterior tooth loss that meet the indications in the 5th ITI consensus.