Esthetics and Patient-Reported Outcomes of Implants Placed with Guided Bone Regeneration and Complete Native Bone: A Prospective Controlled Clinical Trial

Jonker, Brend P.; Wolvius, Eppo B.; Tas, Justin T. van der; Tahmaseb, Ali; Pijpe, J.

doi:10.11607/jomi.7751

Cited by 10 publications

(16 citation statements)

References 9 publications

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“…It has been used to analyze factors affecting implant esthetics owing to its convenience and repeatability. 15 , 42 In this study, a repeatability test was conducted, its consistency was evaluated, and the results demonstrated that repeatability and reliability were good. Further, in this study, the esthetic evaluation of MH by lay patients and dentists was significantly higher than that of RH in the anterior and posterior teeth.…”

Section: Discussionmentioning

confidence: 99%

Esthetic Evaluation and Acceptability of Different Hole Designs on Implant Crowns from the Perspective of Patients and Dentists in China

Wen¹,

Jiang²,

Zhang³

et al. 2022

PPA

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Purpose Abutment access hole on dental implant crowns may facilitate crown retrieval and reduce cement overflow but present esthetic obstacle for patients. This study aimed to investigate the esthetic evaluation and acceptability of implant crowns with different hole designs from the perspective of patients and dentists. Materials and Methods Anterior and posterior implant zirconia crowns were fabricated into three types: no hole (NH), 1 mm micro hole (MH), and 2.5 mm regular hole (RH). The NH crown was set as the control, and the anterior and posterior crowns with MH and RH were evaluated. The subjects, who were recruited randomly, were comprised of lay patients (n=60) and professional dentists (n=30). All subjects were invited to evaluate the esthetic performance of MH and RH crowns on a Visual Analog Scale (VAS), rate them from 0 to 10, state their acceptability of these crowns, and label them as acceptable and unacceptable. Results The ANOVA analysis of the VAS esthetic evaluation showed that the size of the hole, the position of the teeth, and the professional background of the subject significantly and independently affected esthetic perception. Crowns with MH in the posterior position had higher esthetic scores and acceptability compared with crowns with RH in the anterior position, and dentists tended to show higher acceptance and better esthetic rating for crowns with holes compared with lay patients. Conclusion The hypothesis that patients and dentists hold similar esthetic evaluations or acceptability towards implant crown hole designs was rejected. Lay patients had a lower tolerance for venting holes than dentists. Crowns with 1 mm micro holes were more recommendable than crowns with regular abutment access holes from the point of view of satisfying patients’ esthetic needs.

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Section: Discussionmentioning

confidence: 99%

Esthetic Evaluation and Acceptability of Different Hole Designs on Implant Crowns from the Perspective of Patients and Dentists in China

Wen¹,

Jiang²,

Zhang³

et al. 2022

PPA

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“…At one month after delivery of the final restoration, the patients were invited to answer the following questions (Qs) focusing on patient’s satisfaction with the final restoration, the peri-implant soft tissue, and the overall treatment [ 16 ]. Q1) From 0 to 10, how would you value your satisfaction regarding the final implant restoration?…”

Section: Cases Presentationmentioning

confidence: 99%

Socket shield technique and delayed implant placement in maxilla: a series of five case reports

Shadid

2022

BMC Oral Health

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Background Tooth extraction is often followed by remodeling of hard and soft tissues, while socket shield technique has been proposed to prevent or minimize this remodeling. Socket shield accompanied with delayed implant placement is a novel technique that could be used when delayed implantation is selected; however, more scientific based evidence is required to recommend this technique as everyday clinical practice. Thus, the aim of this case series was to assess the clinical, radiographic, and esthetic outcomes of the delayed placed implants associated with previously prepared socket shield at 3–15 months follow-up after loading. The stability of the shield and the depth of soft tissue penetration palatal to the shield at reentry of 3–6 months were also assessed. Cases presentation Five case reports of socket shield with delayed implant placement were described in the study. The facial shields were prepared and simultaneously the sockets were grafted with mineralized allograft particles, then the implants were placed 3–6 months later. Periodontal probe was used to measure the depth of soft tissue penetration palatal to the shield at reentry. Clinical indices of bleeding index, plaque index, and probing depths were recorded. Radiographic evaluation to record the amount of marginal bone loss post-loading, esthetic assessment using modified pink esthetic score, and patient assessed outcomes were also evaluated at 3–15 months follow-up after loading. At 3–6 months reentry, all shields were stable with maintenance of the facial bone and with extreme hard tissue formation in the sockets. All five implants were successful and functional without any pain or inflammation, with optimal soft tissue health and esthetics, and with minimal radiographic marginal bone loss at the last follow-up visit (3–15 months after loading). Conclusions Within the limits of this study, socket shield technique with delayed implant placement could be a predictable minimally invasive option for cases requiring delayed implant placement; however, a long-term well-designed clinical proof is warranted.

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“…The multifactorial nature of treatment decisions in the esthetic zone sparked the review 2 studies on the predictive value of preoperatory anatomy and additional studies assessing outcomes for implant placement in native bone, guided bone regeneration, and connective tissue grafts. [276][277][278][279][280] In the first study, Lee et al 276 focused on data from a randomized controlled trial involving 39 patients who received immediately loaded implants placed with or without flaps and without bone grafts in the esthetic zone between second maxillary premolars. Initial hardand soft-tissue dimensions were recorded and correlated to the 12-month outcome.…”

Section: Implant Dentistrymentioning

confidence: 99%

“…Jonker et al 279 conducted an interesting prospective controlled trial to evaluate esthetic and patient-reported outcomes for implants placed with a 2-stage GBR procedure and implants placed in native bone. Twenty-three patients with facial bone defects of <4 mm were allocated to the 2-stage GBR group, while 22 patients were assigned to have implants placed in native bone.…”

Section: Implant Dentistrymentioning

confidence: 99%

Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry

Cagna

Donovan

McKee³

et al. 2021

The Journal of Prosthetic Dentistry

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Esthetics and Patient-Reported Outcomes of Implants Placed with Guided Bone Regeneration and Complete Native Bone: A Prospective Controlled Clinical Trial

Cited by 10 publications

References 9 publications

Esthetic Evaluation and Acceptability of Different Hole Designs on Implant Crowns from the Perspective of Patients and Dentists in China

Esthetic Evaluation and Acceptability of Different Hole Designs on Implant Crowns from the Perspective of Patients and Dentists in China

Socket shield technique and delayed implant placement in maxilla: a series of five case reports

Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry

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