Skip to main content
SpringerLink
Log in

The Implant-Supported Screw-Retained Provisional Prosthesis: Science, Fabrication, and Design

  • Chapter
  • First Online:
Book cover Implants in the Aesthetic Zone

  • 1336 Accesses

Abstract

When properly designed and fabricated, the implant-supported screw-retained provisional prosthesis (ISP) is a crucial component for predictable treatment of implants in the aesthetic zone. It helps to support and maintain the peri-implant soft tissues, particularly when used with immediate implant placement. The materials used in its fabrication should be selected to provide biocompatibility, aesthetics, and strength. The ISP is fabricated in the clinic in conjunction with implant placement. Special care must be given to the occlusion to minimize the risk to the implant.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Belser UC, Grutter L, Vailati F, Bornstein MM, Weber HP, Buser D. Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: a cross-sectional, retrospective study in 45 patients with a 2- to 4-year follow-up using pink and white esthetic scores. J Periodontol. 2009;80:140–51.

    Article  Google Scholar 

  2. Cosyn J, De Bruyn H, Cleymaet R. Soft tissue preservation and pink aesthetics around single immediate implant restorations: a 1-year prospective study. Clin Implant Dent Relat Res. 2013;15(6):847–57.

    Article  Google Scholar 

  3. Kan JY, Rungcharassaeng K, Lozada JL, Zimmerman G. Facial gingival tissue stability following immediate placement and provisionalization of maxillary anterior single implants: a 2-to 8-year follow-up. Int J Oral Maxillofac Implants. 2011;26(1):179–87.

    PubMed  Google Scholar 

  4. Van Nimwegen WG, Goené RJ, Van Daelen AC, Stellingsma K, Raghoebar GM, Meijer HJ. Immediate implant placement and provisionalisation in the aesthetic zone. J Oral Rehabil. 2016;43(10):745–52.

    Article  Google Scholar 

  5. Chaar MS, Att W, Strub JR. Prosthetic outcome of cement-retained implant-supported fixed dental restorations: a systematic review. J Oral Rehabil. 2011;38(9):697–711.

    Article  Google Scholar 

  6. Abrahamsson I, Berglundh T, Glantz PO, Lindhe J. The mucosal attachment at different abutments. J Clin Periodontol. 1998;25(9):721–7.

    Article  Google Scholar 

  7. Schoenbaum TR, Chang YY, Klokkevold PR, Snowden JS. Abutment emergence modification for immediate implant provisional restorations. J Esthet Restor Dent. 2013;25(2):103–7.

    Article  Google Scholar 

  8. Schoenbaum TR, Swift EJ. Abutment emergence contours for single-unit implants. J Esthet Restor Dent. 2015;27(1):1–3.

    Article  Google Scholar 

  9. Su H, González-Martín O, Weisgold A, Lee E. Considerations of implant abutment and crown contour: critical contour and subcritical contour. Int J Periodontics Restorative Dent. 2010;30(4):335–43.

    PubMed  Google Scholar 

  10. Vela-Nebot X, Rodríguez-Ciurana X, Rodado-Alonso C, Segalà-Torres M. Benefits of an implant platform modification technique to reduce crestal bone resorption. Implant Dent. 2006;15:313–20.

    Article  Google Scholar 

  11. Abboud M, Koeck B, Stark H, Wahl G, Paillon R. Immediate loading of single-tooth implants in the posterior region. J Prosthet Dent. 2005;94(2):198.

    Article  Google Scholar 

  12. Canullo L, Rasperini G. Preservation of peri-implant soft and hard tissues using platform switching of implants placed in immediate extraction sockets: a proof-of-concept study with 12-to 36-month follow-up. Int J Oral Maxillofac Implants. 2007;22(6):995–1000.

    PubMed  Google Scholar 

  13. De Rouck T, Collys K, Cosyn J. Single-tooth replacement in the anterior maxilla by means of immediate implantation and provisionalization: a review. Int J Oral Maxillofac Implants. 2008;23(5):897–904.

    PubMed  Google Scholar 

  14. Del Fabbro M, Ceresoli V, Taschieri S, Ceci C, Testori T. Immediate loading of postextraction implants in the esthetic area: systematic review of the literature. Clin Implant Dent Relat Res. 2015;17(1):52–70.

    Article  Google Scholar 

  15. Kan JY, Rungcharassaeng K, Umezu K, Kois JC. Dimensions of peri-implant mucosa: an evaluation of maxillary anterior single implants in humans. J Periodontol. 2003;74(4):557–62.

    Article  Google Scholar 

  16. Tarnow DP, Magner AW, Fletcher P. The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J Periodontol. 1992;63(12):995–6.

    Article  Google Scholar 

  17. Urban IA, Klokkevold PR, Takei HH. Papilla reformation at single-tooth implant sites adjacent to teeth with severely compromised periodontal support. Int J Periodontics Restorative Dent. 2017;37(1):9.

    Article  Google Scholar 

  18. Sanz-Sánchez I, Sanz-Martín I, Figuero E, Sanz M. Clinical efficacy of immediate implant loading protocols compared to conventional loading depending on the type of the restoration: a systematic review. Clin Oral Implants Res. 2015;26(8):964–82.

    Article  Google Scholar 

  19. Slagter KW, Meijer HJ, Bakker NA, Vissink A, Raghoebar GM. Feasibility of immediate placement of single-tooth implants in the aesthetic zone: a 1-year randomized controlled trial. J Clin Periodontol. 2015;42(8):773–82.

    Article  Google Scholar 

  20. Rodríguez X, Navajas A, Vela X, Fortuño A, Jimenez J, Nevins M. Arrangement of peri-implant connective tissue fibers around platform-switching implants with conical abutments and its relationship to the underlying bone: a human histologic study. Int J Periodontics Restorative Dent. 2016;36(4):533.

    Article  Google Scholar 

  21. Abrahamsson I, Berglundh T, Lindhe J. The mucosal barrier following abutment dis/reconnection. J Clin Periodontol. 1997;24(8):568–72.

    Article  Google Scholar 

  22. Rodríguez X, Vela X, Méndez V, Segala M, Calvo-Guirado JL, Tarnow DP. The effect of abutment dis/reconnections on peri-implant bone resorption: a radiologic study of platform-switched and non-platform-switched implants placed in animals. Clin Oral Implants Res. 2013;24(3):305–11.

    Article  Google Scholar 

  23. Linkevicius T, Vindasiute E, Puisys A, Linkeviciene L, Maslova N, Puriene A. The influence of the cementation margin position on the amount of undetected cement. A prospective clinical study. Clin Oral Implants Res. 2013;24(1):71–6.

    Article  Google Scholar 

  24. Linkevicius T, Vindasiute E, Puisys A, Peciuliene V. The influence of margin location on the amount of undetected cement excess after delivery of cement-retained implant restorations. Clin Oral Implants Res. 2011;22(12):1379–84.

    Article  Google Scholar 

  25. Rowan M, Lee D, Pi-Anfruns J, Shiffler P, Aghaloo T, Moy PK. Mechanical versus biological stability of immediate and delayed implant placement using resonance frequency analysis. J Oral Maxillofac Surg. 2015;73(2):253–7.

    Article  Google Scholar 

  26. Al-Nsour MM, Chan HL, Wang HL. Effect of the platform-switching technique on preservation of peri-implant marginal bone: a systematic review. Int J Oral Maxillofac Implants. 2012;27(1):128–33.

    Google Scholar 

  27. Annibali S, Bignozzi I, Cristalli MP, Graziani F, La Monaca G, Polimeni A. Peri-implant marginal bone level: a systematic review and meta-analysis of studies comparing platform switching versus conventionally restored implants. J Clin Periodontol. 2012;39(11):1097–113.

    Article  Google Scholar 

  28. Hürzeler M, Fickl S, Zuhr O, Wachtel HC. Peri-implant bone level around implants with platform-switched abutments: preliminary data from a prospective study. J Oral Maxillofac Surg. 2007;65(7):33–9.

    Article  Google Scholar 

  29. Lazzara RJ, Porter SS. Platform switching: a new concept in implant dentistry for controlling postrestorative crestal bone levels. Int J Periodontics Restorative Dent. 2006;26:9–17.

    PubMed  Google Scholar 

  30. Pieri F, Aldini NN, Marchetti C, Corinaldesi G. Influence of implant-abutment interface design on bone and soft tissue levels around immediately placed and restored single-tooth implants: a randomized controlled clinical trial. Int J Oral Maxillofac Implants. 2011;26(1):169–78.

    PubMed  Google Scholar 

  31. Paranjpe A, Jain S, Alibhai KZ, Wadhwani CP, Darveau RP, Johnson JD. In vitro microbiologic evaluation of PTFE and cotton as spacer materials. Quintessence Int. 2012;43(8):703–7.

    PubMed  Google Scholar 

  32. Park SD, Lee Y, Kim YL, Yu SH, Bae JM, Cho HW. Microleakage of different sealing materials in access holes of internal connection implant systems. J Prosthet Dent. 2012;108(3):173–80.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Constitutive and Regenerative Sciences, University of California, Los Angeles, CA, USA

    Todd R. Schoenbaum

  2. Section of Periodontics, University of California, Los Angeles, CA, USA

    Perry R. Klokkevold

Authors
  1. Todd R. Schoenbaum
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Perry R. Klokkevold
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Todd R. Schoenbaum .

Editor information

Editors and Affiliations

  1. Division of Constitutive and Regenerative Sciences, University of California, Los Angeles, CA, USA

    Todd R. Schoenbaum

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Schoenbaum, T.R., Klokkevold, P.R. (2019). The Implant-Supported Screw-Retained Provisional Prosthesis: Science, Fabrication, and Design. In: Schoenbaum, T. (eds) Implants in the Aesthetic Zone. Springer, Cham. https://doi.org/10.1007/978-3-319-72601-4_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-72601-4_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-72600-7

  • Online ISBN: 978-3-319-72601-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation