IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 19, Issue 9 Ser.2 (September. 2020), PP 10-12 www.iosrjournals.org DOI: 10.9790/0853-1909021012 www.iosrjournal.org 10 | Page Modified anterior provisional prosthesis with buccal veneers on anterior teeth Dr. Tushar L. Mali (MDS student III year) Dr. Shankar P. Dange (Guide and Professor) Dr. Kishor M. Mahale (HOD and Professor) Dr.Smita A. Khalikar (Professor) Department of Prosthodontics Government Dental College & Hospital, Aurangabad Abstract Although implants are replacing removable and fixed dental prostheses but their healing period is making patients to wait till implants are loaded with definitive prosthesis. It is nightmare for patients who are esthetically concerned to wait for months to get anterior tooth replaced. In such situations temporary prostheses are playing crucial role. Patients having anterior tooth lost and diastema in other anterior teeth can be treated with implant supported prosthesis and veneers to close diastema respectively which is definitive treatment. Temporary prostheses in such case gives a visual picture to patient of esthetic smile designing till he/she get definitive prosthesis. This temporary prosthesis also serves function and esthetic purpose. Keywords: Anterior Provisional restoration, Provisional for implant supported prosthesis, Diastema closure with provisional restoration. Nowadays, implant supported fixed and removable prostheses have occupied their place in prosthetic dentistry.Success rate of implant retainedprostheses for complete and partial edentulism hasbeen shown to be over 90 percent. 1-3 Furthermore, implants have offered a great servicefor people, who lost a single tooth due to trauma, caries,internal/external root resorption, or root fracture [9–12].Social involvement of patient may be affected due to loss of anterior tooth. Hence, expectation of patient is always to load the implant with tooth similar to natural tooth as early as possible. And, clinician expect to deliver implant supported prosthesis having good aesthetic, function and in harmony with surrounding soft and hard tissues. For conventional loading implant is left unloaded for 3-6 months to allow osseointegration. 4 During this healing period clinician can choose posterior implant to be not loaded. But, in highly esthetic zone like anterior implant, patient may have to were removable provisional prosthesis. For esthetic reasons if graft has been placed the removable provisional prosthesis may exert undue pressure on graft hampering its healing. Therefore,provisional prosthesis which is tooth supported or having no soft tissue contact may be preferred over removable prosthesis to maintain soft tissue healing and osseointegration. But, in some cases like recent extraction of tooth, implant placement has to be delayed atleast for 3 months. But anterior tooth loss is quite embarrassing to an esthetically concerned patient. So here provisional prosthesis prior to implant placement was modified for esthetic purpose. --------------------------------------------------------------------------------------------------------------------------------------- Date of Submission: 20-08-2020 Date of Acceptance: 06-09-2020 --------------------------------------------------------------------------------------------------------------------------------------- I. Case Report Uma, 45 old female patient came to department of prosthodontics with her upper right central incisor extracted 2 weeks before. On clinical and radiological examinations, it was found that socket was healed but bone density was poor. CBCT was done to conclude whether implant can be done or not. Bone dimensions were sufficient to plan implant placement in future after complete healing of bone in same region. But, due to anterior tooth patient was willing for immediate placement of prosthesis in that region.