Soft Tissue Contour Changes at Immediate Postextraction Single-Tooth Implants with Immediate Restoration: A 12-Month Prospective Cohort Study

Cardaropoli, Daniele; Tamagnone, Lorenzo; Roffredo, Alessandro; Gaveglio, Lorena

doi:10.11607/prd.2326

Cited by 49 publications

(65 citation statements)

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“…Five of the 19 included studies provided information about the esthetic outcomes of the treatment 28,29,32,33,37 . Esthetic evaluation was carried out using the pink esthetic score (PES) 38 or white esthetic score (WES) 39 .…”

Section: Resultsmentioning

confidence: 99%

“…Five studies used PES or WES to evaluate the esthetic outcome of immediately placed and restored implants 28,29,32,33,37 . When considering the esthetic outcomes according to the criteria described by Cosyn et al, 29 the results from most of these studies suggest that an acceptable esthetic outcome can be achieved when using IPR in the maxillary anterior region.…”

Section: Discussionmentioning

confidence: 99%

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Systematic Review of Soft Tissue Alterations and Esthetic Outcomes Following Immediate Implant Placement and Restoration of Single Implants in the Anterior Maxilla

Khzam

Arora

Kim

et al. 2015

Journal of Periodontology

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The IPR protocol resulted in generally acceptable soft tissue and esthetic outcomes, with suboptimal results reported in ≈11% of low-risk cases. Factors such as preoperative tissue biotype or use of a flap or connective tissue graft did not significantly influence soft tissue and esthetic outcomes. Long-term prospective controlled clinical trials are necessary to identify factors that may influence the esthetic outcomes associated with IPR.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Systematic Review of Soft Tissue Alterations and Esthetic Outcomes Following Immediate Implant Placement and Restoration of Single Implants in the Anterior Maxilla

Khzam

Arora

Kim

et al. 2015

Journal of Periodontology

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“…Presumed potential risk factors influencing ridge resorption and mid‐buccal mucosa recession are a thin or pre‐existing defect of the buccal bone wall, buccal implant position and a thin gingival biotype (Chen & Buser, ; Del Fabbro et al., ; Morton & Pollini, ; Zuiderveld, den Hartog, Vissink, Raghoebar, & Meijer, ). To limit the effects of bone remodelling on the mid‐buccal mucosa, it was proposed to place implants at least 2 mm from the internal buccal socket wall and to fill the implant‐socket gap with a bone graft (Cardaropoli, Tamagnone, Roffredo, & Gaveglio, ; Lin, Chan, & Wang, ; Merheb et al., ). Additionally, it was suggested to place a connective tissue graft (CTG) during implant placement to thicken the soft tissue (Lee, Tao, & Stoupel, ; Lin et al., ).…”

Section: Introductionmentioning

confidence: 99%

Effect of connective tissue grafting on peri‐implant tissue in single immediate implant sites: A RCT

Zuiderveld

Meijer

Hartog

et al. 2017

J Clinic Periodontology

280

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“…Immediate implant placement and provisionalization (IIPP) at the postextraction site in the esthetic zone has been shown to be a reliable therapy for patients and offers a reduced treatment time, high implant survival rate, and long‐term stability of marginal bone . The esthetic outcome of IIPP is dependent on the soft tissue contour . Although many surgical and prosthetic techniques have been proposed to reduce the alteration of the facial soft tissue contour, it cannot be avoided completely, causing the potential risk of suboptimal esthetic outcomes .…”

Section: Introductionmentioning

confidence: 99%

Labial soft tissue contour dynamics following immediate implants and immediate provisionalization of single maxillary incisors: A 1‐year prospective study

Tian

Wei

Zhao

et al. 2019

Clin Implant Dent Rel Res

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Background Soft tissue dynamics in the esthetic zone are gaining increasing attention in recent years. Emerging intraoral scanning technology allows easier capture of soft tissue contours. Purpose To quantitatively assess the time‐dependent contour alterations of labial soft tissue following single immediate implants and immediate provisionalization (IIPP) in maxillary incisors via intraoral scanning. Materials and Methods This was a prospective cohort study. Thirty eligible consecutive patients were included and received immediate replacement of a failure maxillary single incisor. A screw‐retained immediate restoration was delivered for each patient. Subsequently, the anterior maxillary region was scanned by an intraoral scanning system at four time points: preoperation (baseline, BL), 3 months (3 m), 6 months (6 m), and 12 months (12 m). The Standard Tessellation Language files were exported to a dedicated software and superimposed for visual analysis. At 3, 6, and 12 months, the mid‐facial mucosa level (ML) was assessed, and the precise three‐dimensional (3D) configuration of the altered volume was calculated and reconstructed for visual analysis. Furthermore, quantitative analysis of the reconstructed morphology was performed using the following parameters: mean change in thickness (△d), mesio‐distal width (w), coronal‐apical height (h), and horizontal and vertical position of the thickest point represented by coordinates (x, z). Result Twenty‐seven of thirty enrolled patients were finally available for analysis at the 1‐year follow‐up. In general, the frontal view of the reconstructed volume exhibited a crescent shape. The mid‐facial ML change at 3, 6, and 12 months was −0.05 ± 0.36 mm, −0.03 ± 0.32 mm, and −0.24 ± 0.37 mm, respectively (P = .012). The mean change in thickness at 3 months (△d3m), 6 months (△d6m), and 12 months (△d12m) was 0.50 ± 0.19 mm, 0.59 ± 0.21 mm, and 0.62 ± 0.22 mm, respectively (P <.001). At 12 months, nine patients had a △d less than 0.5 mm. The mean △d3 m/△d12 m and △d6 m/△d12 m was 0.81 ± 0.17 and 0.96 ± 0.13. The w, h, x, and z results showed no significant differences during the 1‐year observation (P = .126, P = .324, P = .635, P = .263). At 12 months, w, h, x, and z were 11.57 ± 1.77 mm, 6.46 ± 2.01 mm, 0.03 ± 1.43 mm, and 2.16 ± 0.65 mm, respectively. Conclusion During the 1‐year observation following single IIPP treatment in maxillary incisors, the labial soft tissue contour showed a continuous alteration resulting in a mean change in thickness of 0.62 mm that occurred mainly in the first 3 months and tended to be relatively stable after 6 months, while the crescent‐like shape, width, height, and thickest point position of the alteration volume remained stable after 3 months. No advanced mid‐facial recession was observed.

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Soft Tissue Contour Changes at Immediate Postextraction Single-Tooth Implants with Immediate Restoration: A 12-Month Prospective Cohort Study

Cited by 49 publications

References 0 publications

Systematic Review of Soft Tissue Alterations and Esthetic Outcomes Following Immediate Implant Placement and Restoration of Single Implants in the Anterior Maxilla

Systematic Review of Soft Tissue Alterations and Esthetic Outcomes Following Immediate Implant Placement and Restoration of Single Implants in the Anterior Maxilla

Effect of connective tissue grafting on peri‐implant tissue in single immediate implant sites: A RCT

Labial soft tissue contour dynamics following immediate implants and immediate provisionalization of single maxillary incisors: A 1‐year prospective study

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