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Immediate implant replacement – unpredictable or unbelievable

Immediate implant placement and provisionalization (IIPP) is often associated with mid-facial recession and unpredictable esthetic outcomes. Although similar success rates on the field of osseointegration are achieved both with early and delayed placement protocols, there was a lack of clinical evidence concerning long term esthetic outcomes. Also a firm description of an IIPP protocol was lacking. Based on the current literature Edith Groenendijk described an IIPP protocol and has beed working with it since 2009. A retrospective study was published in 2017 and showed promising results. In cooperation with two universities and 4 private clinics, a clinical prospective multicenter study on the long term stability of the buccal hard tissue and esthetic outcome was started in 2014. This protocol results in minimal discomfort and excellent and predictable esthetic outcomes. In comparison with the conventional method the treatment period is diminished from 18-24 months to 4-6 months, takes only 1 flapless surgery in comparison with 2 to 5 more invasive surgeries using the conventional methods. Instead of wearing a loose flipper a temporary fixed crown is made for the healing period.