Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: a cross-sectional, retrospective study in 45 patients with a 2- to 4-year follow-up using pink and white esthetic scores.

Background: To validate the concept of early implant placement for use in the esthetically sensitive anterior maxilla, clinical trials should ideally include objective esthetic criteria when assessing outcome parameters.Methods: In this cross-sectional, retrospective 2- to 4-year study involving 45 patients treated with maxillary anterior single-tooth implants according to the concept of early implant placement, a novel comprehensive index, comprising pink esthetic score and white esthetic score (PES/WES; the highest possible combined score is 20), was applied for the objective esthetic outcome assessment of anterior single-tooth implants.Results: All 45 anterior maxillary single-tooth implants fulfilled strict success criteria for dental implants with regard to osseointegration, including the absence of peri-implant radiolucency, implant mobility, suppuration, and pain. The mean total PES/WES was 14.7 ± 1.18 (range: 11 to 18). The mean total PES of 7.8 ± 0.88 (range: 6 to 9) documents favorable overall p...

[1]  S E Eckert,et al.  Retrospective review of 1170 endosseous implants placed in partially edentulous jaws. , 1998, The Journal of prosthetic dentistry.

[2]  R. Haas,et al.  Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score. , 2005, Clinical oral implants research.

[3]  U. Belser,et al.  Early implant placement with simultaneous guided bone regeneration following single-tooth extraction in the esthetic zone: a cross-sectional, retrospective study in 45 subjects with a 2- to 4-year follow-up. , 2008, Journal of periodontology.

[4]  M. Quirynen,et al.  Biologic outcome of implant-supported restorations in the treatment of partial edentulism. part I: a longitudinal clinical evaluation. , 2002, Clinical oral implants research.

[5]  J Gunne,et al.  A meta-analysis of implants in partial edentulism. , 1998, Clinical oral implants research.

[6]  U. Belser,et al.  Early implant placement with simultaneous guided bone regeneration following single-tooth extraction in the esthetic zone: 12-month results of a prospective study with 20 consecutive patients. , 2009, Journal of periodontology.

[7]  Kitichai Rungcharassaeng,et al.  Dimensions of peri-implant mucosa: an evaluation of maxillary anterior single implants in humans. , 2003, Journal of periodontology.

[8]  T Jemt,et al.  Regeneration of gingival papillae after single-implant treatment. , 1997, The International journal of periodontics & restorative dentistry.

[9]  D Buser,et al.  Aesthetic implant restorations in partially edentulous patients--a critical appraisal. , 1998, Periodontology 2000.

[10]  M. Degidi,et al.  Reproducibility of the implant crown aesthetic index--rating aesthetics of single-implant crowns and adjacent soft tissues with regard to observer dental specialization. , 2009, Clinical implant dentistry and related research.

[11]  Stephen T. Chen,et al.  Esthetic outcomes of immediate implant placements. , 2007, Clinical oral implants research.

[12]  M. Block,et al.  Correlation of papilla to crestal bone levels around single tooth implants in immediate or delayed crown protocols. , 2005, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[13]  D Buser,et al.  Tissue integration of non-submerged implants. 1-year results of a prospective study with 100 ITI hollow-cylinder and hollow-screw implants. , 1990, Clinical oral implants research.

[14]  Urs C Belser,et al.  Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. , 2004, The International journal of oral & maxillofacial implants.

[15]  A. Wenzel,et al.  Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. , 2003, The International journal of periodontics & restorative dentistry.

[16]  A. Brisman.  Esthetics: a comparison of dentists' and patients' concepts. , 1980, Journal of the American Dental Association.

[17]  K. Rungcharassaeng,et al.  Interimplant papilla preservation in the esthetic zone: a report of six consecutive cases. , 2003, The International journal of periodontics & restorative dentistry.

[18]  C. Hayes,et al.  The effect of axial midline angulation on dental esthetics. , 2009, The Angle orthodontist.

[19]  Ann Wenzel,et al.  Interproximal papilla levels following early versus delayed placement of single-tooth implants: a controlled clinical trial. , 2005, The International journal of oral & maxillofacial implants.

[20]  Matthias Karl,et al.  In vitro study on passive fit in implant-supported 5-unit fixed partial dentures. , 2004, The International journal of oral & maxillofacial implants.

[21]  H. Kiyak,et al.  Comparing the perception of dentists and lay people to altered dental esthetics. , 1999, Journal of esthetic dentistry.

[22]  E. Reynolds,et al.  A prospective clinical study of non-submerged immediate implants: clinical outcomes and esthetic results. , 2007, Clinical oral implants research.

[23]  The smile line of different ethnic groups in relation to age and gender , 2002 .

[24]  U. Belser,et al.  Outcome analysis of implant restorations located in the anterior maxilla: a review of the recent literature. , 2004, The International journal of oral & maxillofacial implants.

[25]  U. Belser,et al.  Early implant placement following single-tooth extraction in the esthetic zone: biologic rationale and surgical procedures. , 2008, The International journal of periodontics & restorative dentistry.

[26]  Hom-lay Wang,et al.  Soft and hard tissue assessment of immediate implant placement: a case series. , 2007, Clinical oral implants research.

[27]  A. Lussi,et al.  Early loading of non-submerged titanium implants with a sandblasted and acid-etched surface. 5-year results of a prospective study in partially edentulous patients. , 2003, Clinical oral implants research.

[28]  K. Stellingsma,et al.  Evaluation of aesthetics of implant-supported single-tooth replacements using different bone augmentation procedures: a prospective randomized clinical study. , 2007, Clinical oral implants research.

[29]  B. Karthikeyan,et al.  Peri-implant papilla reconstruction: realities and limitations. , 2006, Journal of periodontology.

[30]  N. Lang,et al.  Clinical Experience with One-Stage, Non-Submerged Dental Implants , 1999, Advances in dental research.

[31]  J. Wennström,et al.  Tissue alterations at implant-supported single-tooth replacements: a 1-year prospective clinical study. , 2006, Clinical oral implants research.

[32]  G. Zarb,et al.  Treatment outcomes of patients with implant-supported fixed partial prostheses. , 1998, The International journal of oral & maxillofacial implants.

[33]  J C Kois,et al.  Predictable single tooth peri-implant esthetics: five diagnostic keys. , 2001, Compendium of continuing education in dentistry.

[34]  K. Stellingsma,et al.  A new index for rating aesthetics of implant-supported single crowns and adjacent soft tissues--the Implant Crown Aesthetic Index. , 2005, Clinical oral implants research.

[35]  D P Tarnow,et al.  Clinical and radiographic evaluation of the papilla level adjacent to single-tooth dental implants. A retrospective study in the maxillary anterior region. , 2001, Journal of periodontology.

[36]  K. Rungcharassaeng,et al.  Effects of the facial osseous defect morphology on gingival dynamics after immediate tooth replacement and guided bone regeneration: 1-year results. , 2007, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[37]  J. Hoffmann,et al.  Long-term results after placement of dental implants: longitudinal study of 1,964 implants over 16 years. , 1999, The International journal of oral & maxillofacial implants.

[38]  A. Bstr,et al.  Gingival contour assessment: clinical parameters useful for esthetic diagnosis and treatment , 2008, BDJ.

[39]  John D. Jones,et al.  Prosthetic management of implants in the esthetic zone. , 2004, The International journal of oral & maxillofacial implants.

[40]  Urs C Belser,et al.  Early loading of nonsubmerged titanium implants with a sandblasted and acid-etched (SLA) surface: 3-year results of a prospective study in partially edentulous patients. , 2003, The International journal of oral & maxillofacial implants.