#Education 28. Jan 2026

Immediacy and provisionalization without GBR or grafting

A selected scientific recommendation by Dr. Marcin Maj: "Immediate Implant Placement and Provisionalization Without Guided Bone Regeneration or Connective Tissue Grafting: A Case" by Nobuhiro Katahira, Hana Takegawa, Sumihiko NIkaido, Keisuk Seki

STUDY OBJECTIVES AND METHODS

This case report describes the successful immediate placement of an implant (Straumann BLX, 3.75 mm diameter, 12.0 mlength; Institut Straumann AG, Basel, Switzerland) in the maxillary right central incisor position following the atraumatic extraction of avertically fractured tooth. A fully guided surgical approach was used without flap elevation or bone graftingImmediate provisionalization was performed using a screw -retained provisional crown designed to support soft tissue healing and maintain esthet ic outcome.


RESULTS

  • At the six-month follow-up, clinical and radiographic examinations demonstrated successful osseointegration, healthperi-implant soft tissue, and spontaneous buccal bone regeneration without guided bon
  • The provisional restoration maintained excellent esthetic outcomes, with stable gingival contours and no complications

 

 

CONCLUSIONS

This case demonstrates that immediate implant placement and provisionalization in the maxillary esthetic zone can be successfully performed without bone grafting when appropriate case selection criteria are met, including intact buccal bwalls and adequate primary stability.

Adapted from Nobuhiro Katahira et al., Cureus. 2025 Oct 13;17(10):e94469, for more info about this publication, click HERE.

This review is part of the Straumann "Scientific Highlights Newsletter 6/25".


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