The presentation documents rehabilitation of compromised maxillary anterior teeth requiring extraction and replacement in a patient with high esthetic demands. Pretreatment clinical photographs revealed failing anterior restorations and compromised maxillary right and left anterior teeth with gingival and restorative deficiencies.
Preoperative radiographs and panoramic imaging demonstrated multiple endodontically treated and restored maxillary anterior teeth requiring extraction and implant-supported rehabilitation.
Treatment was completed using minimally invasive surgical protocols. Atraumatic extraction techniques preserved the facial osseous and gingival architecture. Zirconia implants were immediately placed into extraction sockets with simultaneous management of peri-implant defects using bone replacement graft materials.
The restorative phase included:
- Placement of PEEK provisional abutments
- Immediate screw-retained provisional restorations
- Immediate postoperative esthetic provisionalization
- Digital and panoramic radiographic evaluation of implant positioning
Sequential postoperative photographs demonstrated preservation of gingival contours and esthetic integration during healing. Final “Case Complete” clinical and radiographic images documented:
- Stable peri-implant tissues
- Harmonious gingival architecture
- Functional and esthetic zirconia implant restorations
- Stable peri-apical bone levels surrounding implants