Dealing with Peri-implant Soft Tissue Complication in the Esthetic Area: A Case Report

High esthetical result outcomes can be achieved with immediate implant-supported crowns in the esthetic zone despite the impossibility to perform an immediate provisionalization. This case report describes the management of a soft tissue complication of two dental implants in the esthetic area. Two immediate dental implants were placed in positions 1.1 and 2.1, while immediate loading was not possible due to low primary stability instead. At the time of loading, the gingival margin of implant 2.1 was apically positioned, volume deficiency was present and partial loss of the interdental papilla between the two central incisors was observed. The soft tissue discrepancy was managed by correctly modifying the critical and subcritical contour of the provisional restoration. The described customization technique of the provisional prosthesis offers satisfactory results in terms of esthetics and soft-tissue stability over time. This case report describes a technique for successfully managing slight soft tissue deficiency around implants, avoiding additional surgical interventions.