The objective of the Study: Evaluation of the soft-tissue profile around the implant in the aesthetic zone of the anterior maxilla utilizing the PES after immediate implant placement with immediate provisionalization versus CAD/CAM provisionalizantion.

Methodology: A total of 22 patients were randomly selected from the dental implant clinic. Eleven patients for the study group received CAD/CAM immediate temporization and eleven patients for the control group received chairside immediate temporization in the maxillary aesthetic zone.

Results: In each group, there was a statistically significant increase in PES by time (P-value = 0.001). The mean pink aesthetic score of the control group was 9.57(±1.22) immediately and increased to 11.71(±1.13), while the mean PES for the study group was 9.79(±1.19) immediately and increased 12.60(±1.86) after 4 months. Between the two groups, there was no statistically significant difference in the mean PES. We recorded overall favorable peri-implant soft tissue conditions. The study group showed a higher mean ISQ value than the control group after 4 months (P = 0.019).

Conclusions: Although the CAD/CAM immediate provisionalization technique showed better esthetic results in immediate implant placement in the esthetic zone, no statistically significant difference between mean PES in the two groups. The immediate provisionalization technique in the two groups represents a valuable treatment choice for the restoration of the immediate implant in the anterior maxilla.