When the immediate provisional is cemented securely (Fig.7 P), the bone graft (*) is not completely covered.

Dislodgement of the immediate provisional the 1st week postop may lead to loss of bone graft.  Therefore the provisional should be relined and cemented securely.

Rebuilding the buccal plate underneath the soft tissue tends to over-packing of bone graft, resulting in incomplete coverage of the bone graft by the immediate provisional.

Perio dressing is a practical remedy in this situation.  It should be pressed into the diastemata for physical lock.

Rebuild Buccal Plate Last Next Xin Wei, DDS, PhD, MS 1st edition 08/11/2015, last revision 05/28/2018