Esthetic implant treatment strategy beginning before tooth extraction

Abstract

Anterior implant treatment requires not only functional restoration but also high esthetic outcomes that must remain stable over the long term. However, the continuous resorption of labial bone following tooth extraction presents a significant challenge in maintaining peri-implant tissue stability in the anterior region. The key to successful anterior implant treatment lies in effectively managing and controlling this ongoing labial bone resorption.

This paper discusses a treatment strategy that considers the pre-extraction integrity of the labial bone and the condition of the labial root. In addition to determining whether immediate or delayed implant placement is appropriate, we explore the feasibility of applying Partial Extraction Therapy (PET) to minimize labial tissue loss. Through clinical cases, we illustrate how this approach can contribute to long-term esthetic success in anterior implant rehabilitation by emphasizing comprehensive pre-extraction assessment and a strategic treatment plan.