Natural Tooth as the Permanent Reconstruction After Immediate Implantation in the Esthetic Zone of Periodontally Compromised Patients

NİZAM N., Akcali A.

INTERNATIONAL JOURNAL OF PERIODONTICS & RESTORATIVE DENTISTRY, vol.38, no.6, pp.887-893, 2018 (SCI-Expanded) identifier identifier


This case series describes a treatment method in which the natural tooth was used as the temporary and permanent reconstruction after immediate implantation in the esthetic zone of periodontally compromised patients. Five patients with a hopeless tooth in the esthetic zone due to periodontal causes were included. The tooth was extracted, and immediate implantation protocol was followed. The extracted tooth was adapted over a temporary abutment during the osseointegration period, and the same tooth served as the final prosthetic reconstruction with a customized zirconia abutment. Esthetic outcome was satisfactory to the patients, and no biologic or prosthetic complications were observed up to 3 years. The technique could be recommended, especially in the esthetic area of periodontally compromised patients who have intact clinical crowns.