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Abstract

The goal of all dental implant therapy is to maintain the esthetics, function and stability of the restoration and the peri-implant tissues involved in the provisionalization. Objective: To analyze the literature on prosthodontic management of implant provisionalization in esthetic zones such as whether or not to perform immediate loading, emergency profile management, provisionalization techniques and management in esthetically compromised zones. Methodology: PubMed, Scopus and Google Scholar databases were reviewed to find recent articles published on the management of the provisionalization of implants with the following keywords "dental implant", "esthetic dentistry", "emergence profile", "esthetic zone", "interim prosthesis". Results: Whether or not to perform immediate loading will depend on the primary stability of the implant when it is placed and the esthetic requirements of the patient. Emergency profile management is crucial to improve the esthetic result of the final restoration in the esthetic zone and this begins with the placement of the provisional. There are several techniques for the immediate provisionalization of implants, the most popular of which is the provisionalization with a temporary crown previously fabricated in the laboratory. During the implantological intervention in the esthetic zone, the volume of the soft tissues should be maintained as well as their correct conformation around a provisional restoration, if possible. Conclusion: Currently, immediate provisionalization is preferred as long as the implantological intervention allows it. The management of the emergence profile should be taken into account since the conformation of the gingival tissues will start to be established in order to obtain an optimal esthetic result in the definitive restoration.