Immediate tooth extraction, placement of a tapered implant, and provisionalization in the esthetic zone

Purpose: This clinical report describes an immediate tooth extraction, followed by placement and pro- visional restoration of a dental implant in the prepared socket of a left maxillary central incisor. Materials and Methods: The tooth was extracted with minimal hard and soft tissue trauma and without flap reflection. A flapless, transmucosal surgical approach was used to prepare the socket and insert a tapered implant. The implant was immedi ately restored with a provisional abutment and crown without occlusal contacts. Results: During the period of provisional progressive loading, no significant soft tissue contraction was observed related to noninvasive operating techniques and the immediate insertion of the provisional restoration. The patient exhibited no clinical or radiologic complications through 8 months of clinical moni toring after loading. Conclusion: The Pivot Morse Line® implant  and all-ceramic restoration provided the patient with immediate esthetics, function, and comfort without any complications during the postloading follow-up period.