Provisional freehand chairside crown over immediate loading implant in aesthetic zone

Alrousan, Ahmad Younis and Tarawneh, Shahed Adel and Al-Issa, Malik Mahmood and Habahbeh, Mutasem Khaled Al and Jaghbeer, Ahmad Mofleh (2025) Provisional freehand chairside crown over immediate loading implant in aesthetic zone. World Journal of Biology Pharmacy and Health Sciences, 23 (1). pp. 230-237. ISSN 2582-5542

The restoration's compatibility with the gingival structure is crucial to implant dentistry's aesthetic success. This is particularly true for the front-of-mouth maxilla. Recent trustworthy solutions to decrease surgical stages include instantaneous provisionalization and immediate implant insertion. Both methods reduce numerous surgical steps. Preserving soft tissue characteristics is another benefit. Standard procedures like laboratory-fabricated provisionals or digitally guided same-day restorations are possible, but patients' tastes and budgets frequently need alternative therapy. This is true even if these techniques are feasible. A 23-year-old female patient went to Prince Ali Hospital, Royal Medical Services, to replace a missing upper central incisor. The patient would not undergo the three-month healing process before the ultimate restoration. The patient concerned about their appearance, thus this choice was taken. Budgetary restrictions prevented us from using a lab-made temporary crown or a digitally prepared permanent prosthesis. Both alternatives were unavailable. To address these issues, a freehand chairside resin composite temporary crown over temporary abutment was made immediately after implant insertion. This crown was designed to be attractive and temporary for optimal effects. Direct composite resin provisionalization, atraumatic extraction, and rapid implant implantation were chairside procedures that did not need a surgical guide or laboratory staff. No help was needed for these steps. The temporary crown was precisely crafted to fit the gums and tooth's increasing profile while it heals. This was done to preserve the tooth's look. The challenges were adequate occlusion, soft tissue stability, and temporary repair strength. The temporary crown protected gingival structure and ensured patient satisfaction at the follow-up session. This worked until the permanent prosthesis was supplied. This case shows that freehand chairside provisionalization is practical and suitable for patients who are unwilling to undergo prolonged treatment or live in low-resource areas. Despite its flaws, the approach shows that clinical implementation may fulfil practical and aesthetic goals quickly. To prove its predictability compared to existing methods, further long-term study is needed.