Immediate implant placement and thereby loading the implant also immediately has been a desire to achieve for past few years. The most important aspect in immediate loading implant dentistry is to achieve both primary stability and adequate bone implant interface. The aim of implant dentistry is to provide prosthodontic rehabilitation, function, esthetic and comfort to the patient in limited time span. This article focuses on single piece immediate loading implant in esthetic zone, covering the criteria, advantages and disadvantages over conventional two piece implant placement. Immediate prosthesis of a single piece system enable with a better tissue healing and better adhesion of gingival mucosa to form a collar which is healthy and adherent to the implant, avoiding a second surgical procedure. Immediate implant also simplifies the technique and permits the reduction of the number of implant components and hence lower cost of treatment and at the same time maintaining acceptable aesthetic and functional outcomes. This article is a review of clinical cases successfully completed with the use of single piece dental implant in immediate extraction site in esthetic zone.
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