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INTERNATIONAL DENTISTRY – AFRICAN EDITION VOL. 4, NO. 4; 48-57

The management of immediate implant placement to optimize aesthetic outcome in the anterior maxilla

Howard Gluckman1 and Jonathan Du Toit 2

Introduction 

Following tooth extraction the implant surgeon may select between various implant placement timing and loading protocols. 1 Ideally these are to be determined prior to extraction, be it immediate (type 1), early (type 2, 3), or late placement (type 4). 2 Immediate implant placement even in the aesthetic zone is a literature supported treatment modality with success comparable to alternative placement protocols. 3, 4 Immediate placement reduces the number of surgical interventions, shortens time to final restoration, may offer a fixed provisional restoration alternative to a removable interim prosthesis, and may partially support the peri-implant tissues prior to collapse from the extraction socket remodelling.