Immediate Implant Placement and Immediate Provisionalization with a Prefabricated-Shell Provisional Crown

General Risk Assessment

Patient-related Factors

Smoking Habit	None
Oral hygiene	Good
Compliance	Good
Patient's Expectations	Realistic

Patient-medical Factors

Medical Status	Healthy, uneventful healing
Medical Fitness	Healthy, able to undergo planned anesthesia and surgical procedure (ASA I)
Medications	No medications that would negatively affect the surgical procedure and outcomes.
Radiation Treatment	None
Growth Status	Complete

Site-related Factors

Periodontal Status	No history of periodontal disease, or any active periodontal disease.
Access	Adequate
Pathology near the implant site	None
Previous surgeries in planned implant site	Previous procedures resulting in none or minimal bone and soft tissue changes.

Surgical Classification

Surgical Complexity

Timing of placement	Immediate Placement (extraction sockets) (Type I)
Simultaneous or Staged grafting procedures	Implant placement with simultaneous hard and soft tissue procedures

Anatomy

Bone Volume - Horizontal	Adequate
Bone Volume - Vertical	Adequate
Keratinized Tissue	Minimal (2-4 mm)
Soft Tissue Quality	Presence of minimal scars/no inflammation
Proximity to vital anatomic structures	Minimal risk of involvement

Adjacent Teeth

Papilla	Deficient
Recession	Absent
Interproximal attachment	At CEJ

Extractions

Radicular morphology	Uniradicular
Available apical bone to achieve primary stability	Sufficient height ( ≥ 4 mm) and width (> 2 mm around apex of planned implant)
Socket walls	Intact
Thickness of buccal wall	less than 2 mm
Anticipated residual defect after implant placement	2 mm or less

Prosthodontic Classification

Complicating Factors

Biological	Screw-retained restorations with appropriate contours
Mechanical/Technical	Absence of contributing factors

Prosthesis Factors

Prosthetic volume	Adequate. Space available for ideal anatomy of the restoration
Inter-occlusal space	Adequate. Capable to create an anatomically & functionally correct planned restoration
Volume and characteristics of the edentulous ridge (fixed)	Adequate. No adjunctive therapy or prosthetic soft tissue replacement will be necessary

Esthetic Factors

Gingival display at full smile	High
Shape of tooth crowns	Triangular
Restorative status of neighboring teeth	Virgin
Gingival Phenotype	Medium-scalloped, medium-thick
Bone level on adjacent teeth	≤5 mm to contact point

Occlusal Factors

Occlusal scheme	User-defined occlusal scheme achievable
Involvement in occlusion	Minimal or no involvement
Occlusal parafunction	Absent

Complexity

Loading Protocol	Immediate
Implant-supported provisional restoration	Required, elevated esthetic and/or functional demands
Timing of placement	Immediate Placement (extraction sockets) (Type I)

Esthetic Risk Assessment

Esthetic Risk Assessment

Medical Status	Healthy, uneventful healing
Smoking Habit	None
Gingival display at full smile	High
Width of edentulous span	1 tooth (≥ 7mm, standard diameter implant) 1 Tooth (≥ 6mm, narrow diameter implant)
Shape of tooth crowns	Triangular
Restorative status of neighboring teeth	Virgin
Gingival Phenotype	Medium-scalloped, medium-thick
Infection at implant site	None
Soft tissue anatomy	Soft-tissue defects
Bone level on adjacent teeth	≤5 mm to contact point
Thickness of buccal wall	less than 2 mm
Patient's Expectations	Realistic