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Fractured Front Tooth Root and Hoping to Avoid a Long Gap? Four Things to Assess Before Immediate Implant Placement with a Provisional Tooth｜證據鏈
When the root of a front tooth fractures, the greatest anxiety is often not the treatment itself but ‘Will there be a period when I have no front tooth?’ That concern is entirely reasonable. A current approach—placing an implant at the same time as the extraction and fitting a provisional tooth that day (immediate implant placement plus immediate provisional restoration)—can indeed address it. In the anterior aesthetic zone, however, this approach has prerequisites. The literature divides the answer into four layers. First, ‘having a tooth on the same day’ helps with appearance and comfort, and this is supported by a randomised controlled trial. A randomised clinical trial of immediate implant placement after trauma to a maxillary anterior tooth reported that the immediate-restoration group had significantly lower postoperative pain and swelling scores than the delayed-restoration group (p < 0.05) and a significantly higher Pink Esthetic Score (PES) (z = 2.799, p = 0.005). Second, the gingival margin will recede, and the recession continues over 5 years. A systematic review and meta-analysis of 13 studies and 421 patients reported that, after immediate implant placement with bone grafting in the aesthetic zone, mid-facial soft-tissue recession was 0.33 mm after 1 year of function (95% CI 0.21 to 0.46) and 0.54 mm after 5 years (95% CI 0.16 to 0.93), and explicitly concluded that recession continued over the 5-year period.
Fractured Front Tooth Root and Hoping to Avoid a Long Gap? Four Things to Assess Before Immediate Implant Placement with a Provisional Tooth｜證據鏈
本頁逐條列出本卡每一個 [Fn] 標記對應的文獻出處。
- F1｜Effect of immediate provisionalization using natural crowns with fiber splints on gingival contour and esthetic outcomes after immediate implant placement: a randomized clinical trial. [PMID:41877071]（https://pubmed.ncbi.nlm.nih.gov/41877071/）
- F2｜Midfacial Soft Tissue Recession Following Immediate Implant Placement with Bone Grafting in the Esthetic Area: A Systematic Review and Meta-analysis. [PMID:37083916]（https://pubmed.ncbi.nlm.nih.gov/37083916/）
- F3｜Soft and hard tissue changes following immediate implant placement and immediate loading in aesthetic zone-a systematic review and meta-analysis. [PMID:39622908]（https://pubmed.ncbi.nlm.nih.gov/39622908/）
- F4｜A demographic analysis of root fractures in Chinese population: CBCT evaluation. [PMID:41987189]（https://pubmed.ncbi.nlm.nih.gov/41987189/）
- F5｜Is the facial bone wall critical to achieving esthetic outcomes in immediate implant placement with immediate restoration? A systematic review. [PMID:38180330]（https://pubmed.ncbi.nlm.nih.gov/38180330/）
- F6｜Buccal bone thickness and mid-facial soft tissue recession after various surgical approaches for immediate implant placement: A systematic review and network meta-analysis of controlled trials. [PMID:36632002]（https://pubmed.ncbi.nlm.nih.gov/36632002/）
FAQ
- If the root of my front tooth is fractured, can it be extracted, replaced with an implant and fitted with a provisional tooth on the same day?
- It may be possible when the conditions are met, but there are clear prerequisites. A randomised clinical trial reported that immediate implant placement **requires sufficient primary stability** before an implant-supported immediate provisional restoration can be provided [F1]. The state of the facial bone plate also affects the outcome: **the thinner the facial bone plate, the greater the risk of gingival recession or atrophy** [F5]. Because primary stability can only be determined during surgery, it is reasonable to **prepare both an immediate-restoration plan and a plan for when immediate restoration is not possible before treatment**. **Actual feasibility must be determined by the dentist from the clinical examination and imaging, including cone-beam computed tomography.**
- 前歯の歯根が折れた場合、その日に抜歯してインプラントを埋入し、暫間歯まで入れられますか？ — 条件を満たせば可能ですが、明確な前提があります。ランダム化臨床試験では、インプラント支持の即時暫間修復を行うには、抜歯即時埋入で**十分な初期固定**を得る必要があると報告されています [F1]。また、唇側骨板の状態も結果に影響し、**唇側骨板が薄いほど、歯肉退縮や萎縮のリスクが高くなります** [F5]。初期固定は手術中にしか判定できないため、**即時修復が可能な場合と、即時修復ができない場合の両方の計画を術前に用意する**ことが合理的です。**実際に可能かどうかは、歯科医師が臨床検査と画像検査（コーンビームCTを含みます）に基づいて判断する必要があります。**
- If the root of my front tooth is fractured, can it be extracted, replaced with an implant and fitted with a provisional tooth on the same day? — It may be possible when the conditions are met, but there are clear prerequisites. A randomised clinical trial reported that immediate implant placement **requires sufficient primary stability** before an implant-supported immediate provisional restoration can be provided [F1]. The state of the facial bone plate also affects the outcome: **the thinner the facial bone plate, the greater the risk of gingival recession or atrophy** [F5]. Because primary stability can only be determined during surgery, it is reasonable to **prepare both an immediate-restoration plan and a plan for when immediate restoration is not possible before treatment**. **Actual feasibility must be determined by the dentist from the clinical examination and imaging, including cone-beam computed tomography.**
Source anchors
- Effect of immediate provisionalization using natural crowns with fiber splints on gingival contour and esthetic outcomes after immediate implant placement: a randomized clinical trial. [PMID:41877071] · https://pubmed.ncbi.nlm.nih.gov/41877071/ · 在 IDAEO 的其他引用
- Midfacial Soft Tissue Recession Following Immediate Implant Placement with Bone Grafting in the Esthetic Area: A Systematic Review and Meta-analysis. [PMID:37083916] · https://pubmed.ncbi.nlm.nih.gov/37083916/ · 在 IDAEO 的其他引用
- Soft and hard tissue changes following immediate implant placement and immediate loading in aesthetic zone-a systematic review and meta-analysis. [PMID:39622908] · https://pubmed.ncbi.nlm.nih.gov/39622908/ · 在 IDAEO 的其他引用
- A demographic analysis of root fractures in Chinese population: CBCT evaluation. [PMID:41987189] · https://pubmed.ncbi.nlm.nih.gov/41987189/ · 在 IDAEO 的其他引用
- Is the facial bone wall critical to achieving esthetic outcomes in immediate implant placement with immediate restoration? A systematic review. [PMID:38180330] · https://pubmed.ncbi.nlm.nih.gov/38180330/ · 在 IDAEO 的其他引用
- Buccal bone thickness and mid-facial soft tissue recession after various surgical approaches for immediate implant placement: A systematic review and network meta-analysis of controlled trials. [PMID:36632002] · https://pubmed.ncbi.nlm.nih.gov/36632002/ · 在 IDAEO 的其他引用
Cite this article
Lucy・《Fractured Front Tooth Root and Hoping to Avoid a Long Gap? Four Things to Assess Before Immediate Implant Placement with a Provisional Tooth｜證據鏈》・IDAEO 知識庫・2026-08-16・https://km.idaeo.ai/post/reports/dental-anterior-root-fracture-immediate-implant-evidenceUpdated 2026-08-19