Immediate Provisional Fabrication and Modification

  1. Purpose: Keep bone graft and collagen membrane in place
  2. Fabrication: Choose abutment as wide and long as possible with slots to increase retention; insert non-woven gauze or thick gingival retraction cord in the remaining sockets; preliminary prep; reline if needed
  3. Modification: Rationale: in early phase of healing, the level of gingiva may change drastically (compare Fig.8 and 11).  Advantage: wound has healed.  No gauze or cord is necessary.  Change abutment and prep if necessary.  If bone granules are present, margin of provisional is modified to cover them lightly.  If the rough surface of the implant is exposed, the margin of the provisional

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Xin Wei, DDS, PhD, MS 1st edition 01/07/2015, last revision 01/07/2015