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A randomized controlled trial to compare aesthetic outcomes of immediately placed implants with and without immediate provisionalization
Author(s) -
Chan HsunLiang,
George Furat,
Wang IChing,
Suárez López del Amo Fernando,
Kinney Janet,
Wang HomLay
Publication year - 2019
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/jcpe.13171
Subject(s) - medicine , dentistry , premolar , implant , crown (dentistry) , soft tissue , orthodontics , radiography , randomized controlled trial , abutment , molar , surgery , civil engineering , engineering
There are mixed results regarding the aesthetic advantage of immediate provisionalization of dental implants. Therefore, this study aimed to compare facial mucosal level of single immediately placed implants with and without immediate provisionalization. Methods Single implants were immediately placed to replace a hopeless maxillary anterior or premolar tooth in 40 subjects. Each implant was randomly assigned to receive a non‐occluding temporary crown or a healing abutment after implant placement. At 4 months, these implants were permanently restored and followed up for 12 months. Clinical and radiographic parameters were measured and compared. Results The implant survival rate at 12 months in the test and control group was 90% and 100%, respectively. Mid‐facial mucosal marginal level and papilla height changes were minimal within groups, and no significant differences were found between the two groups. The amount of marginal bone remodelling was modest, with no significant difference between the two groups. Radiographic bone changes were not statistically different between the groups, except for the vertical crestal bone resorption. Conclusion Immediate implant placement with or without provisionalization can achieve stable vertical soft tissue level for 12 months as compared to pre‐extraction level. However, immediate provisionalization was not able to improve the aesthetic outcome further.