• Aurasri Chutinet D.D.S., M.Sc.
• Atiphan Pimkhaokham D.D.S., Ph.D.
• Pravej Serichetaphongse D.D.S., M.Sc.

Objective To describe surgical and restorative procedures of immediate implant placement together
with guided bone regeneration in the esthetic zone.

Materials and methods A Thai female was presented with an unrestorable loosening post and crown
of maxillary right central incisor. The post was removed, and the root was submerged for 7 weeks
in order to obtain optimal soft tissue healing before implantation. The implant was placed immediately
after extraction and guided bone regeneration (GBR) was performed to correct the fenestration and
dehiscence at the labial and palatal aspects. The interim restoration was immediately delivered.
The provisional crown was inserted 7 months after implant placement. The final restoration was a
screw retained all ceramic crowns on zirconium abutment.

Results At 15 months after loading, the treatment showed satisfactory results both clinically and
radiographically. The final restoration blended naturally with surroundings. The periapical radiograph
confirmed the complication-free and integration of the implant.

Conclusion Careful treatment planning including management of soft tissue, atraumatic tooth
extraction, three dimensional implant positioning, contouring ridge augmentation, interim restoration,
provisional and final restoration are imperative to achieve a successful result with an implant placed in
the esthetic zone.

(CU Dent J. 2013;36:107-16)