Achieving excellent esthetics with implants in the anterior zone is expected by all and yet this often leads to multiple grafting procedures at a high cost for patients. This lecture will demonstrate why immediate implant placement and provisionalization (IIPP) can simplify treatments and reduce the number of surgeries.

Immediate implant placement and provisionalization is now widely accepted as one of the techniques that are essential for ensuring optimal esthetics in anterior zone. Nonetheless, just less than a decade ago, it was not accepted as a mainstream treatment protocol.

This lecture will explain the evolution of this treatment modality and how it has now been documented as one that provides optimal preservation of soft and hard tissues, which is paramount in the esthetic zone.

The benefits and pitfalls of this practice as well as factors that need to be considered during treatment of these cases will be discussed. The factors for cases, in which IIPP is suitable, and cases, in which IIPP is not suitable, will be presented supported by current scientific publications.

Learning objectives:

• Understanding the pros and cons of immediate implant placement and provisionalization (IIPP) in the anterior zone
• Identifying the criteria of success that governs IIPP
• Appreciating the evolution of IIPP over two decades