The application of individualized abutment‐crown integrated provisional restoration in optimizing the peri‐implant soft tissue contour in the esthetic zone

Abstract Objective This article introduced a modified method to fabricate an individualized abutment‐crown integrated provisional restoration for single‐tooth implant restoration in the esthetic zone, which created a satisfactory peri‐implant soft tissue architecture. Clinical considerations Three months after the implant placement, the individualized abutment‐crown integrated provisional restoration was designed and fabricated in the laboratory, by referring to the profile of natural contra‐lateral tooth digitally, and seated on the implant afterwards. The peri‐implant soft tissue architecture was evaluated and the Pink Esthetic Score (PES) was recorded. The provisional restoration stayed on the implant for 3 months until the individualized definitive ceramic abutment and crown were fixed on the implant. Conclusions This protocol provided an alternative solution for shaping the peri‐implant soft tissue morphology in the esthetic zone by using an individualized abutment‐crown integrated provisional restoration and showed promising effect on the esthetics of anterior single‐tooth implant restoration. Clinical significance The individualized abutment‐crown integrated provisional restoration whose emergence profile mirroring that of the natural contra‐lateral tooth, was designed with the help of computer‐aided design‐manufacture (CAD/CAM). It may help shaping the peri‐implant soft tissue in the esthetic zone with merits of saving amount of hand labor of technicians as well as clinicians, and reducing the visits of patients.