Akademik Veri Yönetim Sistemi
Acta Scientific Dental Sciences, cilt.9, sa.10, ss.72-77, 2025 (Hakemli Dergi)
Loss of the interdental papilla, often due to adjacent bone resorption, may lead to black triangles, food impaction, and phonetic issues, thereby negatively affecting oral health–related quality of life and requires careful management. A 45-year-old systemically healthy female patient presented with non-restorable maxillary right central incisor (#11) due to mobility. Immediate implant placement (Medentika GmbH, Hügelsheim, Germany) with bone grafting was performed in the Oral and Maxillofacial Surgery Department. Due to insufficient primary stability, the extracted tooth’s crown was splinted to adjacent anterior teeth to ensure patient’s esthetic comfort and support gingival contouring. After three months of osseointegration, a provisional polymethyl methacrylate crown was fabricated using Computer Aided Design and Computer Aided Manufacturing technology and screw-retained on a polyether-ether-ketone abutment to better shape the emergence profile in the anterior esthetic region. This case report demonstrates an effective approach to soft tissue shaping in situations where immediate implant loading is not indicated.