Aesthetics and Survival of Immediately Restored Implants in Partially Edentulous Anterior Maxillary Patients

Abstract

This retrospective study was undertaken to determine survival rates and aesthetic outcomes of immediate placement of multiple implants at anterior maxilla sites. One hundred and eighteen implants placed in 39 patients (21 women and 18 men; average age 58.3 years) were immediately restored (24-72 h after placement). Aesthetic assessment, radiographic bone loss, and biological and prosthetic complications were evaluated. Data collection between 12 and 84 months (mean 32.2 ± 18) after final prosthetic installation revealed that no implants were lost, and that 106/118 (89.8%) implants had no more than 1.5 mm of bone loss by the end of the first year and an additional 0.2 mm for each successive year. The marginal bone loss was higher for extractions due to periodontitis compared to extractions due to caries (mean mesial loss of 1.37 mm vs. 1.01 mm, respectively, and mean distal loss of 1.37 mm and 0.99 mm, respectively, p = 0.001). The mesial papilla was present in 83/118 implants (70.3%), while the distal papilla was present in 76/118 implants (64.4%). The cervical metallic part of the abutment was exposed in 16/118 (13.5%) implants. There was a higher ratio of recessions and missing papillae in patients in whom the extractions were performed due to periodontal reasons. Within the limitations of the present study, aesthetic and radiographic parameters support immediate restoration of partially edentulous maxillae.

Immediate Maxillary Full-Arch Rehabilitation of Periodontal Patients with Terminal Dentition Using Tilted Implants and Bone Augmentation: A 5-Year Retrospective Cohort Study

“…Most patients with a failing dentition express the desire to undergo a treatment protocol that involves immediate implant placement and restoration because discomfort, treatment time, and cost are reduced. Moreover, it eliminates the need for a transitional removable prosthesis and preserves the height and width of the residual alveolar ridge [ 8 , 9 ].…”

Immediate Implant Placement in Mandibular Esthetic Zone: A Clinical Report

“…For immediate implant placement the anterior mandible proves to be a favorable site for reasons like adequate bone quantity and quality, narrower and shorter tooth sockets than the osteotomy which helps in stabilization of bone beyond the sockets. 9 In anterior mandibular site there is less potential of nerve damage as the inferior alveolar nerve doesnot course in between the mandibular foramina.…”

“…8 The patient was then instructed to follow a intake of soft diet consisting of high nutrient value and postoperative medications like Augmentin and zerodol SP and Pantop D advised for 5 to 7 days, along with a mouth wash, chlorhexidine gluconate (0.2%) twice a day for a week. 9 The patient was recalled for the postoperative follow up for suture removal after a week following the surgery and then called for subsequent follow-ups at their month, six months, and twelve-month respectively.…”

Predictable immediate implant placement and restoration in the esthetic zone

“…For these reasons, early and immediate implant placement into fresh extraction sockets 5‐7 and immediate restoration 6‐8 have become widely accepted protocols, demonstrating long‐term success rates that are comparable to traditional delayed implant protocols 4‐8 . In addition, post‐extraction bone and soft‐tissue resorption can be limited or even prevented through immediate implant placement and restoration 9,10 . Significantly shortened treatment time, fewer surgeries, and immediate esthetic rehabilitation are some of the key advantages of these protocols from a patient perspective.…”

“…[4][5][6][7][8] In addition, post-extraction bone and soft-tissue resorption can be limited or even prevented through immediate implant placement and restoration. 9,10 Significantly shortened treatment time, fewer surgeries, and immediate esthetic rehabilitation are some of the key advantages of these protocols from a patient perspective.…”