Beyond Osseointegration: Managing Patient Anxiety by Preserving the "Smile Identity" via a Digital Workflow – A Case Report Discussion

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22-May-7472.pdf
Published May 25, 2026
DOI: https://doi.org/10.18103/mra.v14i5.7472

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Main Article Content

Ahmad Soolari, DMD, MS
Adjunct Professor, West Virgina University, Depart of Periodontics, School of Dentistry, Morgantown, WV, USA
Amin Soolari, DDS
Periodontics Department, University of Florida, Gainesville, FL, USA

Abstract

Extraction in the maxillary anterior region, the "esthetic zone” is a significant emotional event that often triggers an "identity crisis" for the patient. Success in this region is defined not only by osseointegration but by the seamless replication of natural anatomy that a patient has been attached to for their entire life. This paper discusses the management of a 58-year-old female with a fractured maxillary central incisor. It explores a multidisciplinary approach combining atraumatic extraction, immediate implant placement, and a "Digital " workflow. By utilizing pre-extraction intraoral scanning and provisionalization, clinicians can mitigate patient anxiety and achieve "invisible" restorations that meet high esthetic, functional, and psychological demands.

Keywords: Esthetic zone, Patient psychology, digital smile design, Immediate implant placement, Dental anxiety, soft tissue preservation

Article Details

How to Cite
SOOLARI, Ahmad; SOOLARI, Amin. Beyond Osseointegration: Managing Patient Anxiety by Preserving the "Smile Identity" via a Digital Workflow – A Case Report Discussion. Medical Research Archives, [S.l.], v. 14, n. 5, may 2026. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/7472>. Date accessed: 02 june 2026. doi: https://doi.org/10.18103/mra.v14i5.7472.
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Issue
Vol 14 No 5 (2026): Vol.14 Issue 5 May 2026
Section
Case Reports

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References

1. Campos LA Etal. Use of Oral Health Impact Profile-14 (OHIP-14) in Different Contexts. What Is Being Measured? Int J Environ Res Public Health, 2021 Dec 20;18(24):13412

2. Zhang, Zewei, Et al. Patterns and predictors of tooth extraction-related anxiety at sequential perioperative stages. BMC Oral Health.2025 Aug 31;25(1):1387

3. Su N, Etal. Psychosocial oral health-related quality of life impact: A systematic review. J Oral Rehabil 2021 Mar;48(3):282-292

4. Zhang, Zewei Etal. Patterns and predictors of tooth extraction-related anxiety at sequential perioperative stages. BMC Oral Health. 2025 Aug 31;25(1):1387

5. Gamal N and Et al. Post-extraction volumetric analysis of alveolar ridge contour using subepithelial connective tissue graft in esthetic zone: a randomized controlled clinical trial. Clin Oral Investig. 2023 Nov;27(11):6503-6512.

6. Brenes C Etal. Evaluation of Prosthetic Outcomes and Patient Satisfaction With 3D-Printed Implant-Supported Fixed Prosthesis. Cureus. 2023 Jul 27;15(7):e42537

7. Buser, D., et al. Long-term stability of contour augmentation with early implant placement following single tooth extraction in the esthetic zone. Journal of Periodontology, 2017, 88(1), 43-51.

8. Chen, S. T., et al. Immediate or early placement of implants following tooth extraction: review of biologic basis and clinical procedures. Int J Oral Maxillofac Implants, (2004),22(Suppl), 12-25.

9. Weigl P, Et al. Esthetically driven immediate provisionalization in the anterior zone: 5-year results from a prospective study evaluating 3.0-mm-diameter tapered implants. Clinical Oral Investig. 2024 Jul 31;28(8):460.

10. Belser, U. C., et al. Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria. Journal of Periodontology 2009 Jan;80(1):140-51.

11. Garcia P P, Etal. Digital smile design and mock-up technique for esthetic treatment planning with porcelain laminate veneers. J conserve Dent. 2018 Jul-Aug; 21(4);455-458

12. Yang, Yi Etal. Impact of Immediate vs Delayed Dental Implants on Survival, Patient Satisfaction, and Quality of Life. Oral Health Prev Dent. 2026 Feb 10:24:77-88.

13. Zucchelli, G., et al. 5-year outcomes after coverage of soft tissue dehiscence around single implants: A prospective cohort study. Eur J Oral Implantol. 2018;11(2):215-224.