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procedures, and outcomes. Int J Oral Maxillofac Implants , 2004; 19(Suppl):12-25. 4. Chih-Long Chen, Chih-Ling Chang, Shih-Jung Lin . Immediate implant placement and provisionalization with simultaneous guided bone regeneration in the esthetic zone. J Dent Sci , 2011; 6:53-60. 5. Chrcanovic BR, Martins MD, Wennerberg A . Immediate Placement of Implants into Infected Sites: A Systematic Review. Clinical Implant Dentistry and Related Research, 2013; doi: 10.1111/cid.12098 6. Corbella S . Postextraction implant in sites with endodontic infection as an alternative to

-tissue profile. Int J Oral Maxillofac Surg, 1996; 25:351-359. 15. Nevins M, Mellonig JT. Enhancement of the damaged edentulous ridge to receive dental implants: a combination of allograft and the GORE-TEX membrane. Int J Periodontics Restorative Dent, 1992; 12:96-111. 16. Chiapasco M, Abati S, Romeo E, Vogel G. Clinical outcome of autogenous bone blocks or guided bone regeneration with e-PTFE membranes for the reconstruction of narrow edentulous ridges. Clin Oral Implants Res, 1999; 10:278-288. 17. Blus C, Szmukler-Moncler S. Split-crest and immediate implant placement with

Summary

Implant placement in the esthetic zone is a complex procedure and requires a restoration-driven approach. Proper selection of patients and implant together with individual assessment of the risk of esthetic complications are very important. Correct 3D-implant positioning and sufficient bone volume should provide long-term esthetic and function. Esthetic region is a zone in which expectations and possibilities collide. Clinician should bring the important decision on the appropriate time of implant placement. Immediate implant placement is particularly challenging in the esthetic zone. Patient desire for reduced treatment time should be weighed against the possible risk factors. Protocol of immediate implant placement in conditions of unfavourable gingival biotypes, the lack of bone or soft tissue in patients with a high smile line lead to esthetic failure which is very important in the esthetic region.

maxillary central incisor via immediate implant placement . Pract Proced Aesthet Dent . 19(6), 355-357 4. Martin, W., Morton, D. & Ruskin, J. (2011). Planning for estethics-part 1: single tooth bone level implant restorations. Tex Dent J. 128(12), 1298-1299 5. Cho, H.L., Lee, J.K., Um, H.S. & Chang, B.S. (2010). Esthetic evaluation of maxillary singletooth implants in esthetic zone. J Periodontal Implant Sci . 40(4), 188-193 6. Garavaglia, G., Mojon, P. & Belser, U. (2013). Modern treatment planning approach facing a failure of conventional treatment. Part II: case

. Principles of BOI. Berlin, Heidelberg: Springer-Verlag, 2004; p. 25-30. 6. Buchs AU, Levine L, Moy P. Preliminary report of immediately loaded Altiva natural tooth replacement dental implants. Clin Implant Dent Relat Res . 2001;3:97-105. 7. Kan JY, Rungcharassaeng K. Immediate implant placement and provisionalization of maxillary anterior single implants: a surgical and prosthodontic rationale. Pract Periodont Aesthet Dent . 2000;12:817-824. 8. Choquet V, Hermans M, Adriaenssens P, et al. Clinical and radiographic evaluation of the papilla level adjacent to single tooth