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tissue volume, especially in the fragile buccal bone. To compensate for these changes, which might compromise the aesthetic results of a prosthetic rehabilitation, immediate implant placement in combination with minimally invasive extraction techniques have been established in the past few years [26]. Beside anatomical considerations, such as the bone and soft-tissue volume and quality, an implant system that meets specific technical and constructional demands is required for long-term implant success [27]. The integration of material, physical, chemical, mechanical, biological and technical factors ensures the osseointegration of dental implants and long-lasting anchorage in the periimplant bone [27]. Currently, numerous implant systems are available, in a range of sizes, shapes, coatings and prosthetic components [28]. For the surface of dental implants there is a clear consensus regarding the superiority of roughened/ micro-textured surfaces compared to machined surfaces to maximize the implant/bone contact area. In-vivo and clinical studies have demonstrated that there is significantly greater bone apposition and integration when using implants with microtextured surfaces [29]. In the past few decades, research on dental implants has led to a broad modification of the surgical and prosthetic protocols. The original protocol of submerged healing with complete mucosal coverage during the osseointegration phase isolated dental implants from the oral cavity, avoiding trauma and infection and established favourable conditions for uneventful initial healing [9]. In addition to submerged healing, further surgical and prosthetic protocols – such as transgingival healing, immediate implant placement and immediate loading of dental implants – have been shown to provide stable clinical and aesthetic long-term results [10-14]. The ultimate aim of implant placement, especially, but not only, in cases of tooth loss in the aesthetic zone, is the preservation of hard and soft tissue after tooth loss to restore function and aesthetics. Different techniques have been proposed for preserving the morphology of the alveolar ridge [15,16], including guided bone regeneration [17], socket preservation [18-20], immediate implant placement [21-24] and different combinations of these options [15,25]. Maintaining the hard and soft tissue is a primary condition for highly aesthetic results, particularly in the aesthetic zone. The extraction of an anterior First report of a two-year retrospective study with a newly developed bone-level implant system

Peri-Implant Health and Peri-implant Bone Stability after Immediate Implant Placement