Jurado Carlos A, Garcia-Torres Francisco, Rojas-Rueda Silvia, Karimi Kiarash, Antal Mark Adam
Division of Operative Dentistry, Department of General Dentistry, The University of Tennessee Health Science Center College of Dentistry, Memphis, TN 38104, USA.
School of Dentistry, Ponce Health Sciences University, Ponce 00716, Puerto Rico.
Dent J (Basel). 2025 Aug 12;13(8):365. doi: 10.3390/dj13080365.
: Immediate implant therapy is a highly effective solution for replacing non-restorable teeth, particularly in the esthetic zone, where achieving optimal results can be challenging. In this area, even small imperfections can significantly affect a patient's satisfaction due to the high visibility of the teeth involved. This narrative review provides an overview of findings from case reports and systematic reviews that highlight the success of immediate implant therapy in the esthetic zone. Additionally, it includes a case illustration to emphasize how meticulous planning, combined with advanced techniques, can achieve successful outcomes. : A comprehensive literature review was conducted to evaluate the effectiveness of immediate implant placement and loading for non-restorable teeth in the esthetic zone. Key factors identified for success include atraumatic tooth extraction, precise implant placement, and effective soft tissue management to achieve natural esthetics and long-term stability. To illustrate these principles, the review features a clinical case involving the replacement of a maxillary right central incisor rendered non-restorable due to trauma. Treatment incorporated advanced digital planning, atraumatic extraction, immediate implant placement, and provisionalization. The final restoration involved soft tissue contouring and ceramic veneers on adjacent teeth, enhancing the patient's overall smile and confidence. : Evidence from the literature indicates that well-planned immediate implant therapy achieves high success rates and long-term stability. In the clinical case presented, the workflow met the patient's esthetic and functional needs, resulting in a natural, harmonious smile, and improved patient satisfaction. : Immediate implant therapy in the esthetic zone is highly effective when critical considerations-such as bone preservation, guided implant placement, soft tissue shaping, and appropriate restoration-are meticulously addressed. Advanced techniques and careful planning are essential for fulfilling both esthetic and functional patient needs, ultimately delivering predictable and successful outcomes.
即刻种植治疗是替换无法修复牙齿的一种高效解决方案，尤其适用于美学区域，在该区域要获得最佳效果可能具有挑战性。在这个区域，由于涉及的牙齿高度可见，即使是很小的瑕疵也会显著影响患者的满意度。本叙述性综述概述了病例报告和系统评价的结果，这些结果突出了即刻种植治疗在美学区域的成功。此外，还包括一个病例说明，以强调精心规划与先进技术相结合如何能够取得成功的结果。
进行了一项全面的文献综述，以评估美学区域无法修复牙齿的即刻种植植入和加载的有效性。确定的成功关键因素包括无创拔牙、精确的种植体植入以及有效的软组织管理，以实现自然美学和长期稳定性。为了说明这些原则，该综述介绍了一个临床病例，涉及因外伤而无法修复的上颌右中切牙的替换。治疗包括先进的数字规划、无创拔牙、即刻种植植入和临时修复。最终修复包括软组织塑形和相邻牙齿的瓷贴面，提升了患者的整体笑容和自信心。
文献证据表明，精心规划的即刻种植治疗可实现高成功率和长期稳定性。在所呈现的临床病例中，治疗流程满足了患者的美学和功能需求，产生了自然、和谐的笑容，并提高了患者满意度。
当诸如骨保存、引导种植体植入、软组织塑形和适当修复等关键因素得到精心处理时，美学区域的即刻种植治疗非常有效。先进技术和仔细规划对于满足患者的美学和功能需求至关重要，最终可实现可预测的成功结果。
