Consensus Statement 1: There is no difference between immediate provisionalization and conventional loading

From the patient’s perspective, there is no difference between immediate provisionalization and conventional loading. Both treatment modalities can achieve similar positive patient-reported outcomes. This statement was based on: one RCT and two controlled clinical trials.

Consensus Statement 2: No evidence addresses early loading of immediate implant placement

Based on PROMs, no evidence was found to address early loading of immediately placed implants. This statement was based on the fact that no study was identified reporting on early loading of immediately placed implants.

Consensus Statement 3: Positive outcomes can be achieved following immediate implant placement with immediate provisionalization in single edentulous space

Positive patient-reported outcomes can be achieved following immediate implant placement with immediate provisionalization in a single edentulous space in maxillary anterior and premolar sites. From an occlusion standpoint, most studies reported immediate provisional restoration with no contact in centric occlusion or eccentric movement. This statement was based on: one RCT, two controlled clinical trials and five single cohort studies.

Consensus Statement 4: Immediate implant-supported provisional restoration demonstrates significant improvement in OHIP-14 scores

The placement of an immediate implant-supported provisional restoration demonstrated a significant improvement in OHIP-14 score. This statement is based on two single cohort studies.

Consensus Statement 5: Immediate implant-supported provisional restorations outcome in contiguous edentulous spaces has not been determined

From the patient’s perspective, the outcome of immediate implant-supported provisional restorations in contiguous edentulous spaces has yet to be determined. This statement was based on the fact that no study was identified reporting PROMS for contiguous edentulous spaces.

Consensus Statement 6: Limited evidence is available to support immediate provisionalization

Limited evidence is available to support immediate provisionalization based on PROMs. This statement is based on the fact that only a third of the studies used standardized and validated tools to report PROMs.

1) Immediate provisionalization and conventional loading can be recommended following immediate implant placement

Based on patients’ perspectives, what loading protocol can be recommended following immediate implant placement in single edentulous spaces? Both immediate provisionalization and conventional loading can be recommended to provide patient benefit. Clinicians’ preferences, expertise, specific case- and patient-related factors should be included to make this determination. This is based on Consensus Statements 1 and 4.

2) No contact in centric occlusion and eccentric movements is recommended for immediate provisionalization

When immediate provisionalization of immediately placed implants in single edentulous spaces is chosen, what occlusal scheme should be favoured? Positive patient ratings have been associated with immediate provisional restoration having no contact in centric occlusion and eccentric movements. Therefore, the clinical recommendation is to have no contact in centric occlusion and eccentric movements for immediate implant-supported provisional restorations. This is based on Consensus Statement 3.