Dina AbdelWahab, Hani ElNahass And Azza Ezz AlArab,

ABSTRACT
Background: Stability Of Soft Tissue Around Implants Is A Significantfactor In Achieving A Satisfactory Esthetic Outcome. Several Surgical And Prosthetic Approaches Have Been Suggested To Improve The Esthetics Of Implant-supported Restorations In The Esthetic Zone.

Materials and Methods: 22 Patients Requiring Single Delayed Implant Placement In The Esthetic Zone Were Randomly Assigned To Either The Placement Of A Connective Tissue Graft And Immediate Provisionalization In The Test Group Or Immediate Provisionalization Alone In The Control Group. Peri-implant Soft Tissue Esthetics Through Pink Esthetic Score (PES) Was Evaluated 6 Months After The Final Crown Deliver.

Results: Twenty-two Implants (11 Test, 11 Control) Were Placed In 22 Patients With Mean Ages Of All Subjects 44.5 ? 5.8. At The 6-month Follow-up Visit Following Finalcrown Delivery, The Control Group Yielded A Total Mean PES Score Of 12.62 ? 0.91; While The Test Group Had A Total Mean PES Score Of 12.14 ? 0.83.Conclusion: Immediate Provisionalization May Represent A Viable Option For The Replacement Of Single Missing Teeth, With Comparable Peri-implant Soft Tissue Esthetics To Those Of Soft Tissue Grafting. In Addition To Being A Less Invasive Procedure Sparing Patient Morbidity By Avoiding A Second Surgical Site.