Immediate post-extractive implantation with provisionalization of two deciduous canines and related impacted permanent canines, a case report.

This is a case study of replacing two maxillary deciduous canines and related impacted permanent canines with two single implants, in conjunction with grafting lost hard tissue. By using immediate post- extraction implant placement and provisionalization protocols, the stability of the implant was ensured while bypassing the bony void created by removal of the primary canines. In this respect, it was originally planned that a minimum healing period of one year would be observed.Taking the time to observe any changes provides an opportunity to evaluate the gingival esthetic before the final step is carried out. By the time the final restorations were fitted, the graft and tissues were stable. The time involved not only placed biology on the clinician's side, but also helped the patient to spread the cost. CLINICAL RELEVANCE: In modern aesthetic dentistry harmonious results can be achieved relatively quickly, when the prerequisites for aesthetic success have already been met but, as this case demonstrates, human biology often requires more time and patience for augmented hard and soft tissues to heal and mature.