Presenter: Mark Douglas, DDS, BSc, MSc



Immediate Implant Provisionalization Using the Extracted Tooth to Replicate the Natural Emergence Profile

One of the most poorly understood and challenging tasks facing a restorative dentist when restoring an implant is the maintenance of the buccal gingival margin and the interproximal papillae. While the preservation of the osseous architecture is in the hands of the surgeon, the restorative dentist requires a comprehensive understanding of the biologic variables in order to create a restoration that will satisfy the criteria of aesthetic and functional blending with the supporting gingival tissues.

Immediate provisionalization of the implant is a key factor that aids in the preservation and maintenance of the gingival complex. Many techniques and designs have been proposed to fabricate immediate provisionals, each with its advantages and limitations. This presentation will outline the criteria for aesthetic and functional success and review how different techniques and designs satisfy these criteria using the best available evidence. A novel step-by-step technique that utilizes the extracted tooth to produce an emergence profile that replicates the natural tooth will be presented.

Learning Goals:

  1. Identify the biologic variables that must be controlled in order to create a restoration that blends with the natural dentition.
  2. Understand the advantages of fabricating a provisional restoration immediately following implant placement.
  3. Identify the different methods that can be used to provisionalize an implant.
  4. Understand the importance of emergence profile in the provisional restoration and how to alter it to effect a desired change in the gingival soft tissues.

Presenter: Mark Douglas, DDS, BSc, MSc

Course Details

CE Hours

1.5 Hours

Subject Code

250 Operative


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19415 International Blvd Ste 410
SeaTac, WA 98188-5366
AGD Provider ID # 219331
(206) 212-4969

Nationally Approved From 6/1/2018 – 5/31/2024
Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement.

The Washington AGD Continuing Dental Education Committee gratefully acknowledges corporate partners of our programs for their generous support. CE program providers and instructors will disclose to participants any monetary or other special interest the program provider may have with any corporate partners products they are discussing in CE activities. Disclosure will be made in publicity materials and at the beginning of the presentation itself in accordance with our PACE Commerical Support Guidelines.