Immediate Implant Placement and Loading of Multiple Implants in the Anterior Maxillary Esthetic Zone: A Clinical Case Report

• Asad Ammarah Meatooq

  Department of Periodontology, Faculty Oral and Dental Surgery, University of Zintan, Zintan, Libya

  Author

• Ramzi Sirb

  Department of Periodontology, Faculty Oral and Dental Surgery, University of Zintan, Zintan, Libya

  Author

Background: Immediate implant placement and immediate loading have gained significant clinical acceptance for reducing treatment time and enhancing esthetic outcomes, particularly in the anterior maxillary region. Although immediate protocols for single-tooth replacement are well documented, the placement and loading of multiple implants in the esthetic zone present additional anatomical, biomechanical, and esthetic challenges. Aim: This clinical case report describes the surgical and prosthetic management of immediate implant placement and immediate loading of multiple implants in the anterior maxillary esthetic zone, with emphasis on short-term clinical performance and esthetic stability Methods: A 22-year-old male underwent extraction of compromised maxillary central incisors followed by immediate placement of two JD implants (3.7 × 13 mm) in D2 bone. Adequate primary stability permitted immediate provisionalization. Clinical evaluation and CBCT assessment were performed at 3 months, with radiographic and clinical follow-up continued to 6 months. Results: A 22-year-old male underwent extraction of compromised maxillary central incisors followed by immediate placement of two JD implants (3.7 × 13 mm) in D2 bone. Adequate primary stability permitted immediate provisionalization. Clinical evaluation and CBCT assessment were performed at 3 months, with radiographic and clinical follow-up continued to 6 months. Conclusion: Immediate placement and immediate loading of multiple implants in the anterior maxilla can achieve predictable short-term functional and esthetic outcomes when sufficient primary stability and well-planned prosthetic protocols are ensured. This case reinforces the importance of appropriate case selection and technical precision in achieving optimal results in esthetically demanding regions.

1. Asad Ammarah Meatooq, Department of Periodontology, Faculty Oral and Dental Surgery, University of Zintan, Zintan, Libya

   Department of Periodontology, Faculty Oral and Dental Surgery, University of Zintan, Zintan, Libya 

2. Ramzi Sirb, Department of Periodontology, Faculty Oral and Dental Surgery, University of Zintan, Zintan, Libya

   Department of Periodontology, Faculty Oral and Dental Surgery, University of Zintan, Zintan, Libya 

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