Immediate single-tooth implants in the anterior maxilla: 3-year results of a case series on hard and soft tissue response and aesthetics

Abstract

The authors declare that they have no conflict of interests. The study was supported by the dental department of the Free University of Brussels (VUB). The authors wish to express their gratitude to Nobel Biocare Belgium for their support in providing dental implants. ABSTRACT Purpose:The objective of this prospective study was to assess the overall outcome of immediate single implant treatment in the anterior maxilla after a 3-year observation period. Material and methods: Conclusions:The proposed strategy seems a valuable and predictable treatment option for well-selected patients in the mid-long term as shown by almost full papillary re-growth and a low risk for advanced midfacial recession.

Surgical guide assisting temporary crown positioning in immediate implants

“…Loss of interdental papillae leads to speech problems and esthetic drawbacks, such as black holes. 2,5 Thus, surgical techniques that ensure their preservation have been the choice of many clinicians.…”

“…6 After implant placement, soft tissue healing and maturation are guided by the temporary crown which, by means of the technique presented herein, allows papillae to be preserved as a result of guidance provided by the emergence profile. 5 In comparison to the conventional technique, immediate implant placement allows papillae and gingival architecture to be preserved, 1 especially if the temporary crown is manufactured respecting the emergence profile, with a smooth and polished surface. 10 ,11 Importantly, gingival papillae not only act as a biological barrier that protects periodontal structures, but they also play a crucial role in smile esthetics.…”

“…1,2 Patients also benefit significantly, since decreased healing time not only minimizes and simplifies the surgical procedures, but also results in quicker and more comfortable treatment. 3 The predictability of this technique has been widely disclosed in the literature and confirmed by high success rates; 4,5 however, despite being an easy-toperform surgical technique, prosthesis placement success relies on the need for proper planning carried out by the clinician. 2 Good dental casts, diagnostic wax-ups, tridimensional implant positioning planning and surgical guide manufacture are the essential phases of planning, as they aim at yielding good surgical and esthetic outcomes.…”

A modified surgical template with dual function

“…[1][2][3][4] This technique has enabled clinicians to shorten treatment time and possibly provide an interim crown at the time of implant placement. In addition to shortening the surgical procedures, the immediate placement and provisional restoration of a dental implant is purported to better preserve the gingival and bone architecture, resulting in greater comfort and patient acceptance.…”

“…In addition to shortening the surgical procedures, the immediate placement and provisional restoration of a dental implant is purported to better preserve the gingival and bone architecture, resulting in greater comfort and patient acceptance. 2,4,5 However, successful immediate implant placement depends on satisfactory patient selection, treatment planning, and atraumatic tooth extraction. This enables adequate primary stability and correct implant location in a site that has preserved the natural architecture of soft and hard tissues.…”