Timing implant provisionalization: Decision‐making and systematic workflow

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Autori principali: Jonathan Esquivel, Ramon Gomez Meda, Milko Villarroel
Natura: Artículo Open Access
Pubblicazione: Wiley 2024
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author Jonathan Esquivel
Ramon Gomez Meda
Milko Villarroel
author_facet Jonathan Esquivel
Ramon Gomez Meda
Milko Villarroel
Jonathan Esquivel
Ramon Gomez Meda
Milko Villarroel
collection Wiley Open Access
contents Timing implant provisionalization: Decision‐making and systematic workflow Jonathan Esquivel Ramon Gomez Meda Milko Villarroel Journal of Esthetic and Restorative Dentistry AbstractObjectiveProvisionalization is an important step to achieve esthetic results in implant cases, and many different techniques for provisional restoration fabrication have been described. However, depending on the clinical scenario, the provisionalization strategy will require different approaches and timing. The clinician should modify the provisional restorations efficiently to reduce the number of disconnections from the implant, as repeated disconnections may have biological consequences. This article aims to schematize different scenarios requiring implant provisionalization and propose strategies to help the clinician condition the peri‐implant tissues, respecting perio‐prosthodontic fundamentals for soft tissue, biological, and esthetic stability.Clinical ConsiderationsThe clinical outcomes of modern implant therapy aim to achieve results that emulate natural dentition. Different scenarios may require adjunct therapy, including hard‐ and soft‐tissue grafting, which complicates treatment. The provisionalization strategy will vary depending on the initial condition of the tissues, the need for reconstructive procedures, and the timing of implant placement. Selecting the right strategy based on the case type is necessary to reduce treatment time and complications associated with inadequate prosthetic handling of the soft tissues.Clinical SignificanceProper emergence profile conditioning through provisional restorations will allow for biologically sound and esthetically pleasing outcomes in implant restorations. 10.1111/jerd.13197 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1111/jerd.13197
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institution Wiley Open Access
license_str_mv http://onlinelibrary.wiley.com/termsAndConditions#vor
publishDate 2024
publisher Wiley
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spellingShingle Timing implant provisionalization: Decision‐making and systematic workflow
Jonathan Esquivel
Ramon Gomez Meda
Milko Villarroel
Journal of Esthetic and Restorative Dentistry
Timing implant provisionalization: Decision‐making and systematic workflow Jonathan Esquivel Ramon Gomez Meda Milko Villarroel Journal of Esthetic and Restorative Dentistry AbstractObjectiveProvisionalization is an important step to achieve esthetic results in implant cases, and many different techniques for provisional restoration fabrication have been described. However, depending on the clinical scenario, the provisionalization strategy will require different approaches and timing. The clinician should modify the provisional restorations efficiently to reduce the number of disconnections from the implant, as repeated disconnections may have biological consequences. This article aims to schematize different scenarios requiring implant provisionalization and propose strategies to help the clinician condition the peri‐implant tissues, respecting perio‐prosthodontic fundamentals for soft tissue, biological, and esthetic stability.Clinical ConsiderationsThe clinical outcomes of modern implant therapy aim to achieve results that emulate natural dentition. Different scenarios may require adjunct therapy, including hard‐ and soft‐tissue grafting, which complicates treatment. The provisionalization strategy will vary depending on the initial condition of the tissues, the need for reconstructive procedures, and the timing of implant placement. Selecting the right strategy based on the case type is necessary to reduce treatment time and complications associated with inadequate prosthetic handling of the soft tissues.Clinical SignificanceProper emergence profile conditioning through provisional restorations will allow for biologically sound and esthetically pleasing outcomes in implant restorations. 10.1111/jerd.13197 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Timing implant provisionalization: Decision‐making and systematic workflow
topic Journal of Esthetic and Restorative Dentistry
url https://onlinelibrary.wiley.com/doi/10.1111/jerd.13197