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Immediate single‐tooth implants in the anterior maxilla: a 1‐year case cohort study on hard and soft tissue response
Author(s) -
De Rouck Tim,
Collys Kristiaan,
Cosyn Jan
Publication year - 2008
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/j.1600-051x.2008.01235.x
Subject(s) - medicine , soft tissue , dentistry , implant , maxilla , radiography , anterior maxilla , patient satisfaction , bleeding on probing , orthodontics , periodontitis , surgery
Aim: The objective of the present study was to assess implant survival rate, hard and soft tissue response and aesthetic outcome 1 year after immediate placement and provisionalization of single‐tooth implants in the pre‐maxilla. All patients underwent the same strategy, that is mucoperiosteal flap elevation, immediate implant placement, insertion of a grafting material between the implant and the socket wall and the connection of a screw‐retained provisional restoration. Material and Methods: Thirty consecutive patients were treated for single‐tooth replacement in the aesthetic zone by means of immediate implant placement and provisionalization. Reasons for tooth loss included caries, periodontitis or trauma. At 6 months, provisional crowns were replaced by the permanent ones. Clinical and radiographic evaluation was completed at 1, 3, 6 and 12 months to assess implant survival and complications, hard and soft tissue parameters and patient's aesthetic satisfaction. Results: One implant had failed at 1 month of follow‐up, resulting in an implant survival rate of 97%. Radiographic examination yielded 0.98 mm mesial, respectively, 0.78 mm distal bone loss. Midfacial soft tissue recession and mesial/distal papilla shrinkage were 0.53, 0.41and 0.31 mm, respectively. Patient's aesthetic satisfaction was 93%. Conclusions: The preliminary results suggest that the proposed strategy can be considered to be a valuable treatment option in well‐selected patients.