Immediate implant placement in the esthetic zone with buccal wall defect using the immediate dentoalveolar restoration (IDR) protocol: A clinical report.

Immediate implant placement in the anterior maxilla is indicated for patients with an intact labial plate to achieve esthetics and predictability. This clinical report describes the use of the immediate dentoalveolar restoration (IDR) protocol with a digitally designed tuberosity adjustment guide (TAG) to restore a compromised socket in the esthetic zone. A 47-year-old patient presented with a missing lateral incisor with loss of the labial wall. The tooth had been lost because of trauma. A tuberosity bone graft was shaped using a computer-aided design and computer-aided manufactured (CAD-CAM) TAG and placed simultaneously with the implant and a screw-retained interim crown. At 2 years, soft and hard tissue stability was maintained.