In daily practice, we are constantly faced with the dilemma of choosing the right strategy between a conservative treatment and a "radical" one which includes extracting the tooth and replacing it with an implant… With or without setting an immediate esthetic fixed temporary prosthesis. Considering the psychological makeup of the patient (and of the practitioner!) and the real life experience of the 2 protagonists, critical situations are frequent where we must carefully weigh the pros and the cons of the various possible treatments. Latest implant generations - especially spiral implants - contribute to greater stability in poor quality bone sites, but also to improve implant placement even under precarious circumstances providing us – as practitioners and as patients as well - increased secure-pleasurable sensations while driving the implant treatments. Based on experience and advanced implant technology, this paper illustrates this purpose with a series of several case reports, challenging immediate implant placements in the esthetic zone in part 1, and full arches replacements in part 2.
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