Aim/Hypothesis
For the Type II sockets, flapless immediate implantation and GBR were performed in the sockets at the same time. Using an implant-supported temporary crown or a custom healing abutment to seal the extraction. To observe the success rates of the implants and esthetic outcomes after finally restoration.
Materials and Methods
A total of 5 patients (7 sites) were included with Type II sockets in the anterior maxillary. Flapless immediate implantation and GBR were performed in the sockets at the same time. The implant-supported temporary crown or a custom-healing abutment was attached at the day of surgery. 6 months later, taking impression and finishing the final restoration. Followed by a period of 10 months to 45 months after final restoration. The success rate and red-white esthetic outcomes were observed. X-ray examinations were performed to observe changes in the marginal bone level around the implant.
Resultats
None of the 7 implants loosen or falled off during the follow-up period. The implant function was normal and the implant success rate was 100%. After the permanent restoration, good aesthetic effects were obtained. The natural contour and the mesial-distal gingival papilla were completely preserved. The highest point of the labial margin was in harmony with the height of the adjacent natural teeth, and the alveolar process was full and natural. After 10 months to 45 months of follow-up, the stability of the implants was good. The X-ray showed that marginal bone level around the implants was stable.

Conclusions and Clinical Implications
For the Type II sockets, flapless immediate implantation and GBR were performed in the sockets at the same time. Using an implant-supported temporary crown or a custom healing abutment to seal the extraction. After final restoration, a good implant success rate and red-white esthetic outcomes can be obtained.

Esthetic Outcomes of Immediate Implant Placement into Type II Extraction Sockets