The ultimate goal of prosthetic treatment in the aesthetic zone is to restore nature as much as possible. The functional and aesthetic success of implant treatment in the anterior zone depends not only on the quality of the prosthetic restoration,but also on the position and stability of the soft and hard tissues. Often, when teeth have already been extracted, three dimensional soft and hard tissue deficiencies have to be restored in order to optimize the future prosthetic rehabilitation. The ideal means of minimizing bone resorption ,and thus optimizing soft tissue contour and stability after extraction is immediate implant placement and immediate loading.
This lecture will focus on various surgical aspects (implant positioning and implant diameter, soft tissue augmentation and modifying biotype, bone grafting) and the prosthetic treatment modalities (abutment selection and abutment shape, submergence profile, abutment biocompatibility) for immediate implant placement and loading in the esthetic zone.