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Treatment guidelines

Abutment and material selection for provisionalization, esthetic zone

Key points

  • Key considerations to determine when provisional placement is appropriate.
  • Choices of abutment, and relationship to adjacent teeth or implants.
  • Soft tissue management.

Additional resources



Chandur Wadhwani: The impact of cement, its techniques and protocols for long term outcomes

Residual cement is considered a main causal risk factor for peri-implant disease. Cement remnants causing microbial activity, immune reaction, allergic response, activation of titanium surface may be the route by which bone is lost around implants. Dr Wadhwani discusses the...
Implant prosthetics
Fixed prosthetics


Daniel Fang: Implant provisional restorations

Implant provisional restorations are the business card of the esthetic dentist. Postextraction tissue resorption and remodeling is inevitable. Dr. Fang explains that the tissue remodeling can be compensated by preserving the tissue through immediate implant placement and...
Implant designs
Immediate implant placement
Anterior implants


Chandur Wadhwani: Restorative-driven implant health – what you need to know. Healing abutment to final restoration.

The success of the dental implant is intimately related to how the soft tissues respond prior to, during, and after restoration. The restoring clinician is involved with all these aspects and must fully understand the consequences of his or her choices and actions. Soft-tissue heal

Prosthetic strategies

Additional external resources

Digital Textbooks

eBook: Single Implants and their Restoration
Single implants and their restoration
Osseointegrated implants not only have become routinely recommended for replacing single missing teeth but the preferred treatment modality. This treatment planning choice is due, in part, to the high 5-year survival rate1 of single implants (96.8%) and their associated single crowns (94.5%). However, some mechanical and biologic complications can arise with dental implants. For example, a 2011 systematic review of implant single crowns determined that abutment screw loosening ranged from 1-10% in the nine included studies and occurred with both external and internal connection implants. Other reported complications have included esthetic deficits, mucosal inflammation, fistulas, abutment screw fracture, implant loss, and implant fracture.4 While such complications have typically been relatively infrequent, every effort should be made to minimize complications as much as possible.

The combination of research and long-term clinical experience have led to the development of generally accepted guidelines for the diagnosis, planning, design and clinical procedures to achieve optimal restoration of single implants.


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