Application of an implant-supported provisional crown in the esthetically critical zone in prosthodontic clinical practice

Abstract

AIM. To evaluate the attitude of practicing prosthodontists toward the use of implant-supported provisional crowns in the esthetic zone and to identify the main clinical challenges and complications associated with temporary restorations.

MATERIALS AND METHODS. A pilot survey study was conducted using a structured electronic questionnaire consisting of nine questions. A total of 120 prosthodontists with more than 10 years of clinical experience in implant-supported restorations participated. Forty percent worked in public dental institutions and 60% in private clinics. The survey analyzed the frequency of provisional crown use, treatment protocols, application of digital technologies, and soft tissue complications.

RESULTS. Sixty percent of respondents routinely use provisional crowns in the esthetic zone. Immediate implantation is performed by 86% of clinicians. However, 66.7% reported soft tissue complications, including gingival recession, loss of interdental papillae, and changes in gingival contour and color. Digital workflows are implemented by 66.7% of clinicians, while only 20% possess 3D crown modeling skills. Notably, 73% of respondents do not follow a standardized prosthetic protocol in the esthetic zone.

CONCLUSIONS. Implant-supported provisional crowns represent a critical component of esthetic rehabilitation. The absence of a unified treatment protocol highlights the need for evidence-based clinical guidelines. The integration of digital technologies and 3D modeling enhances treatment personalization and improves predictability of esthetic outcomes.