Fabrication of a Single-Tooth Implant Provisional Restoration: A Visual Essay

Single-tooth implants in the esthetic zone usually require a provisional restoration. The fabrication of a single-tooth implant-supported restoration requires a careful step-by-step approach to deliver a restoration that will assist the process of soft-tissue sculpting.

Here is a multi-step process showing the fabrication sequence of a screw-retained single-tooth implant provisional restoration of a lateral incisor.

RicardoMitrani fabrication of a single tooth implant provisional restoration Fig.1
Figure 1: Clinical situation before making the impression for provisional fabrication.
RicardoMitrani fabrication of a single tooth implant provisional restoration Fig.2
Figure 2: Impression coping is secured into the implant and ready for radiographic verification.
RicardoMitrani fabrication of a single tooth implant provisional restoration Fig.3
Figure 3: An impression utilizing polyvinylsiloxane is made, and an implant replica is secured onto the implant. Soft-tissue moulage is carefully injected around the analog.
RicardoMitrani fabrication of a single tooth implant provisional restoration Fig.4
Figure 4: A master cast is obtained by securing an analog into the impression coping in the impression and pouring it with stone and a soft-tissue moulage in the area of the implant.
RicardoMitrani fabrication of a single tooth implant provisional restoration Fig.5
Figure 5: A temporary titanium abutment is secured, and the height is customized.
RicardoMitrani fabrication of a single tooth implant provisional restoration Fig.6
Figure 6: A full contour wax-up is made on top of the abutment.
RicardoMitrani fabrication of a single tooth implant provisional restoration Fig.7
Figure 7: A silicone matrix is made from the wax-up.
RicardoMitrani fabrication of a single tooth implant provisional restoration Fig.8
Figure 8: The temporary abutment is opaqued and inserted back in place.
RicardoMitrani fabrication of a single tooth implant provisional restoration Fig.9
Figure 9: Acrylic resin is injected into the silicone matrix and seated on the cast to obtain the full contoured provisional.
RicardoMitrani fabrication of a single tooth implant provisional restoration Fig.10
Figure 10: A contour is added at the emergence profile area to influence the sculpting of the tissue. It is then polished using a silicone wheel.
RicardoMitrani fabrication of a single tooth implant provisional restoration Fig.11
Figure 11: The finalized single-tooth implant-supported screw-retained provisional restoration.
RicardoMitrani fabrication of a single tooth implant provisional restoration Fig.12
Figure 12: The facial aspect of the provisional is in place, but we are still waiting for the soft-tissue maturing of the mesial papilla.  
RicardoMitrani fabrication of a single tooth implant provisional restoration Fig.13
Figure 13: An occlusal view of the screw-retained provisional restoration.

SPEAR campus Workshops

Step Into a Place Built for Mastery

Step away from the noise of practice and into focused, immersive training that changes how you think, diagnose, and lead.

Experience Learning at Spear Campus
Spear Education Icon

By: Ricardo Mitrani
Date: July 18, 2018


Featured Digest articles

Insights and advice from Spear Faculty and industry experts