ABSTRACT

One of the most important things in cosmetic dentistry is the seamless integration of the prosthesis with all the teeth in the arch; this is more difficult the more visible the tooth is, therefore the anterior superior sector is the one with the most aesthetic engagement. To achieve this we need a good prosthesis, as close as possible to the natural teeth and especially the equivalent of the other hemi-arch, in order to achieve symmetry in the mouth that will extend to the face and its expression. But something that we sometimes forget is that no matter how aestheti- cally pleasing the prosthesis, it is nothing without a soft tissue that is also as close as possible to the same tooth of the other hemi-arch or to the tooth we have extracted, should this be the case.

This soft tissue is the framework for our prosthesis; it is best to maintain the emergence profile of the natural tooth we are going to extract by placing an immediate implant and a provisional one which provides aesthetics, serves as support for the soft tissue and maintains that profile; if we have to create this ourselves, it is more complicated and time consuming.