title: Implant and provisional crown placement: a one stage protocol.
abstract: Most endosseous implant systems are placed using a two-stage surgical procedure. The surgical stages are separated by a period of 4 to 6 months to allow osseointegration. At Stage-I surgery, the implant is fixed in bone and submerged under mucosa, while at Stage-II surgery, the implant is exposed and the transmucosal abutment is connected to the implant. The one-stage nonsubmerged surgical procedure with immediate transmucosal extension using traditional two-stage implant systems is being used to treat partial and complete edentulism. This is a case report of 10 patients treated with endosseous implants in the maxillary anterior region with immediate provisionalization using a one-stage surgical procedure. The investigators found that all patients experienced minimal discomfort from complications after the one-stage surgery and immediate placement of the provisional restoration. No signs of inflammation or mobility were observed during the first 6 months. The partially edentulous anterior maxilla can be restored to an esthetic form in a single clinic visit.
authors.affiliation: Department of Biologic and Material Sciences, Division of Prosthodontics, School of Dentistry, University of Michigan, Ann Arbor, USA.
authors.forename: H K
authors.initials: HK
authors.lastname: Kupeyan
authors.forename: K B
authors.initials: KB
authors.lastname: May
mesh_terms: D000328:Adult; D003442:Crowns; D003481:Cuspid; D000044:Dental Abutments; D003758:Dental Implantation, Endosseous / Q000379:methods*; D019250:Dental Implants, Single-Tooth; D017268:Dental Prosthesis Retention; D019094:Dental Prosthesis, Implant-Supported; D003833:Denture, Partial, Temporary; D005260:Female; D006801:Humans; D007180:Incisor; D008437:Maxilla; D013997:Time Factors