Peri-implant bone response following immediate implants placed in the esthetic zone and with immediate provisionalization—a case series study

Abstract

Based on the preliminary results (8 months) of this case series study, it can be concluded that there was bone loss on the mesial bone crest level and on the buccal face and bone increases on the mesial and distal faces in the area where the bone meets the implant surface. Nevertheless, this is just a case series study, and long-term controlled clinical trials are essential for a definitive conclusion.

Soft tissue behavior around dental implants placed in fresh extraction sockets and immediately restored in esthetic area: a preliminary short-term evaluation

“…Some factors are crucial for successful treatment with immediate implants in the fresh alveoli of an aesthetic region, such as: the gingival biotype and the thickness of the buccal bone 8,11,17 . Other technical features must also be prioritized, such as a minimally traumatic extraction, which can be carried out using extractor devices, for example 4 ; the use of implants with Morse type connection and switch platform, which minimize the formation of biofilm and prevent micromovements 18 ; and the use of smaller-diameter implants, thus maintaining maximum vascularization and nutrition in the bone bed 19 .…”

“…Studies have focused on immediate rehabilitations in the anterior region, to help surgeons find the best approach when restoring single teeth, in order to produce a good aesthetic result for patients with gingival smile 3,[5][6][7][8] . The aesthetics of peri-implant tissues have improved with new implant designs, such as Morse type prosthetic connections, biomaterial grafting techniques, subepithelial connective tissue grafting 7 , pre-surgical CT scans 9 and surgical techniques developed for better bone and peri-implant soft margin biological responses 10 .…”

“…The aesthetics of peri-implant tissues have improved with new implant designs, such as Morse type prosthetic connections, biomaterial grafting techniques, subepithelial connective tissue grafting 7 , pre-surgical CT scans 9 and surgical techniques developed for better bone and peri-implant soft margin biological responses 10 . Among these techniques, flapless surgery to install the implant in the correct three-dimensional position combined with initial stability and the placement of a temporary crown with a suitable contour, are factors that are required for clinical success 8,11 .…”

“…In addition to installing the implant with effective anchoring, the professionals must use customized pillars 14 and place a provisional restoration with adequate anatomy and an emergence profile that favors and improves the aesthetics of the peri-implant soft tissues 8,15 . Often there is also the need for both a biomaterial graft and a connective tissue graft in the buccal aspect of the alveolus with the purpose of maintaining the volume of buccal tissue 16 .…”

“…Often there is also the need for both a biomaterial graft and a connective tissue graft in the buccal aspect of the alveolus with the purpose of maintaining the volume of buccal tissue 16 . A Morse taper implant and switch platform prosthetic connection must be used to promote the increase of soft tissue, improve tissue stability and, thus, optimize the peri-implant aesthetic result 8 . Therefore, the aim of this prospective preliminary study was to assess the behavior of peri-implant soft margin tissue after immediate implant placement with immediate function.…”