The replacement of a failing/missing anterior tooth by means of a dental implant is one of the most challenging treatments we as clinicians face nowadays, as the esthetic expectations of our patients are increasing over time. Nevertheless, the timing of extraction of a failing anterior tooth in relation to the placement of a dental implant and its impact on esthetic outcomes has been extensively evaluated. The preservation or regeneration of present/absent periodontal structures by means of bone grafting, tissue grafting and its benefits on implant aesthetics have as well been carefully described, however, data in relation to the long term stability and late complications on hard and soft tissue grafting is still scarce.
The aim of this lecture is depict an evidence-based analysis, illustrated with clinical cases, of the esthetic outcomes that can be expected depending of the alveolar architecture present at the time of extraction, the need for regenerative therapy and the timing of implant placement. Furthermore, to address the early and long term complications associated to grafting procedures in the esthetic zone.
