Academic Journal
Immediate Implant Placement and Provisionalization in the Aesthetic Zone Using a Digital Workflow: A 1‐Year Prospective Case Series Study: A 1-Year Prospective Case Series Study
| Title: | Immediate Implant Placement and Provisionalization in the Aesthetic Zone Using a Digital Workflow: A 1‐Year Prospective Case Series Study: A 1-Year Prospective Case Series Study |
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| Authors: | Vincent J. J. Donker, Gerry M. Raghoebar, Arjan Vissink, Henny J. A. Meijer |
| Source: | Clin Implant Dent Relat Res |
| Publisher Information: | Wiley, 2025. |
| Publication Year: | 2025 |
| Subject Terms: | Adult, Male, Dental Implants, Immediate Dental Implant Loading/methods, Esthetics, Middle Aged, Cone-Beam Computed Tomography, Single-Tooth, Workflow, Dental Restoration, Temporary/methods, Computer-Assisted/methods, Humans, Dental, Female, Surgery, Original Article, Dental Restoration Failure, Prospective Studies, Maxilla/surgery, Aged |
| Description: | IntroductionImmediate implant placement and provisionalization in the maxillary aesthetic zone necessitates meticulous treatment planning. The integration of intraoral scanning with cone beam computed tomography allows for three‐dimensional prosthetic‐driven planning of the implant. Additionally, it facilitates static computer‐assisted implant surgery and prefabrication of a temporary restoration, enabling chairside restoration of the immediate implant. This study aimed to evaluate the clinical, aesthetic, radiographic, and patient‐reported outcomes after immediate implant placement and restoration.Materials and MethodsIn a prospective case series, 30 patients with a failing tooth in the maxillary aesthetic zone were included and received immediate implant placement with a bone graft and a prefabricated temporary restoration. The definitive restoration was placed 3 months later. The clinical, aesthetic, radiographic, and patient‐reported outcomes were collected prior to implant treatment, 6 weeks after the temporary restoration, and 1 month and 1 year after the definitive restoration.ResultsThe prefabricated temporary restoration could be placed in all patients. Three cases of early implant failure were observed (implant survival rate 90%); hence, 27 patients were evaluated after 1 year. The survival and success rates were 100% for the temporary and 100% and 96%, respectively, for the definitive restorations. Plaque, bleeding on probing, and peri‐implant inflammation were absent in most cases. At the 1‐year follow‐up, the mean (SD) Pink Esthetic Score and White Esthetic Score (scale 0–20) was 15.4 (2.5). The mean (SD) marginal bone level change between implant placement and the 1‐year follow‐up was −0.18 mm (0.57) on the mesial side and −0.44 mm (1.23) on the distal side. The median buccal bone thickness remained stable after immediate implant placement and grafting. The mean (SD) patient satisfaction (scale 0–10) was 9.2 (0.8) at the 1‐year evaluation.ConclusionThe digital workflow has the potential to enable the manufacture of prefabricated temporary restorations, leading to satisfactory clinical, aesthetic, radiographic, and patient‐reported outcomes after immediate placement of single‐tooth implants in the aesthetic zone.Clinical Trial RegistrationRegistered in the National Trial Register (NL8264). |
| Document Type: | Article Other literature type |
| Language: | English |
| ISSN: | 1708-8208 1523-0899 |
| DOI: | 10.1111/cid.70079 |
| Access URL: | https://research.rug.nl/en/publications/4a73bb6f-fffe-43e8-8329-da9214eccfa8 https://hdl.handle.net/11370/4a73bb6f-fffe-43e8-8329-da9214eccfa8 https://doi.org/10.1111/cid.70079 |
| Rights: | CC BY NC |
| Accession Number: | edsair.doi.dedup.....49953a1a07c63f39ab1a6ef8cb41cc5b |
| Database: | OpenAIRE |
| ISSN: | 17088208 15230899 |
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| DOI: | 10.1111/cid.70079 |