Immediate Implant Placement and Provisionalization Using Natural Tooth Structure in the Anterior Esthetic Zone: A Case Report

Immediate implant placement with immediate restoration in the anterior esthetic zone presents a clinical challenge due to high esthetic demands and the need for precise surgical and prosthetic planning. When appropriate case selection and evidence-based protocols are followed, this approach may reduce treatment time, preserve peri-implant soft tissue architecture, and enhance patient satisfaction. This case report describes the management of a compromised maxillary anterior tooth using immediate implant placement and immediate provisional restoration. Following atraumatic tooth extraction, an implant was placed in a prosthetically driven position, with adequate primary stability allowing for same-day provisionalization. The provisional restoration was designed to support soft tissue contours while avoiding functional loading during healing. Clinical and radiographic follow-up demonstrated favorable hard and soft tissue outcomes, with successful integration of the implant and satisfactory esthetic results. The patient reported high satisfaction with both function and appearance, highlighting a positive impact on quality of life. This case emphasizes the importance of careful patient selection, meticulous surgical technique, and prosthetic planning when considering immediate implant placement and restoration in the anterior esthetic zone.