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Clinical, aesthetic and patient-related outcome of immediately loaded single implants in the anterior maxilla: a prospective study in extraction sockets, healed ridges and grafted sites

Filiep Raes, Jan Cosyn UGent and Hugo De Bruyn UGent (2013) CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH. 15(6). p.819-835
abstract
Purpose: The objective of this prospective clinical study was to document the overall treatment outcome of immediately loaded single Astra Tech Osseospeed™ implants placed in extraction sockets, healed ridges and Material and methods: Forty eight patients in need of a single implant in the anterior maxilla (15-25) were recruited. Patients were allocated to a conventional implant treatment (CIT) or immediate implant treatment (IIT) group on the basis of specific criteria. If the buccal bone plate was damaged or missing upon tooth removal, patients were allocated to a grafted implant treatment (GIT) group. Irrespective of the treatment concept implants were immediately provisionalized. Hard and soft tissue alterations, aesthetic parameters (Pink and White esthetic scores, PES and WES) and patient’s opinion (OHIP-14 questionnaires) were registered at different time points. Results: After 1 year of function the overall implant survival rate was 98% with 1 failure following IIT. The mean bone level to the implant-abutment interface was 0.65 mm (SD 0.79), 0.85 mm (SD 0.64) and 0.56 mm (SD 0.44) for CIT, IIT and GIT. Complete papilla loss was rare following either strategy. Mean midfacial recession amounted to 1.00 mm (SD 1.15), 0.12 mm (SD 0.78) and 0.49 mm (SD 0.82) for CIT, IIT and GIT, respectively. The aesthetic outcome showed a mean PES of 10.30 (SD 1.89) and mean WES of 7.11 (SD 2.14), all patients considered. Patient’s satisfaction showed a significant improvement after 1 year of function on all 7 domains (p < 0.001). Conclusions: This prospective study showed that single implants clinically and aesthetically perform well under immediate non-occlusal loading conditions in the premaxilla. In this context it is of pivotal importance to stress that patients were carefully selected for IIT and GIT.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
immediate loading, single implants, implant protocol, BEAM COMPUTED-TOMOGRAPHY, TIOBLAST DENTAL IMPLANTS, SOFT-TISSUE RESPONSE, MARGINAL BONE LEVEL, TOOTH IMPLANTS, EDENTULOUS MAXILLA, FIXED PROSTHESES, CASE SERIES, PROVISIONALIZATION, PLACEMENT
journal title
CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH
Clin. Implant Dent. Relat. Res.
volume
15
issue
6
pages
819 - 835
Web of Science type
Article
Web of Science id
000327602400006
JCR category
DENTISTRY, ORAL SURGERY & MEDICINE
JCR impact factor
2.796 (2013)
JCR rank
9/83 (2013)
JCR quartile
1 (2013)
ISSN
1523-0899
DOI
10.1111/j.1708-8208.2011.00438.x
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1974615
handle
http://hdl.handle.net/1854/LU-1974615
date created
2011-12-28 12:05:21
date last changed
2016-12-19 15:45:31
@article{1974615,
  abstract     = {Purpose: The objective of this prospective clinical study was to document the overall treatment outcome of immediately loaded single Astra Tech Osseospeed{\texttrademark} implants placed in extraction sockets, healed ridges and Material and methods: Forty eight patients in need of a single implant in the anterior maxilla (15-25) were recruited. Patients were allocated to a conventional implant treatment (CIT) or immediate implant treatment (IIT) group on the basis of specific criteria. If the buccal bone plate was damaged or missing upon tooth removal, patients were allocated to a grafted implant treatment (GIT) group. Irrespective of the treatment concept implants were immediately provisionalized. Hard and soft tissue alterations, aesthetic parameters (Pink and White esthetic scores, PES and WES) and patient{\textquoteright}s opinion (OHIP-14 questionnaires) were registered at different time points. 
Results: After 1 year of function the overall implant survival rate was 98\% with 1 failure following IIT. The mean bone level to the implant-abutment interface was 0.65 mm (SD 0.79), 0.85 mm (SD 0.64) and 0.56 mm (SD 0.44) for CIT, IIT and GIT. Complete papilla loss
was rare following either strategy. Mean midfacial recession amounted to 1.00 mm (SD 1.15), 0.12 mm (SD 0.78) and 0.49 mm (SD 0.82) for CIT, IIT and GIT, respectively. The aesthetic outcome showed a mean PES of 10.30 (SD 1.89) and mean WES of 7.11
(SD 2.14), all patients considered. Patient{\textquoteright}s satisfaction showed a significant improvement after 1 year of function on all 7 domains (p {\textlangle} 0.001). 
Conclusions: This prospective study showed that single implants clinically and aesthetically perform well under immediate non-occlusal loading conditions in the premaxilla. In this context it is of pivotal importance to stress that patients were carefully selected for IIT and GIT.},
  author       = {Raes, Filiep and Cosyn, Jan and De Bruyn, Hugo},
  issn         = {1523-0899},
  journal      = {CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH},
  keyword      = {immediate loading,single implants,implant protocol,BEAM COMPUTED-TOMOGRAPHY,TIOBLAST DENTAL IMPLANTS,SOFT-TISSUE RESPONSE,MARGINAL BONE LEVEL,TOOTH IMPLANTS,EDENTULOUS MAXILLA,FIXED PROSTHESES,CASE SERIES,PROVISIONALIZATION,PLACEMENT},
  language     = {eng},
  number       = {6},
  pages        = {819--835},
  title        = {Clinical, aesthetic and patient-related outcome of immediately loaded single implants in the anterior maxilla: a prospective study in extraction sockets, healed ridges and grafted sites},
  url          = {http://dx.doi.org/10.1111/j.1708-8208.2011.00438.x},
  volume       = {15},
  year         = {2013},
}

Chicago
Raes, Filiep, Jan Cosyn, and Hugo De Bruyn. 2013. “Clinical, Aesthetic and Patient-related Outcome of Immediately Loaded Single Implants in the Anterior Maxilla: a Prospective Study in Extraction Sockets, Healed Ridges and Grafted Sites.” Clinical Implant Dentistry and Related Research 15 (6): 819–835.
APA
Raes, Filiep, Cosyn, J., & De Bruyn, H. (2013). Clinical, aesthetic and patient-related outcome of immediately loaded single implants in the anterior maxilla: a prospective study in extraction sockets, healed ridges and grafted sites. CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, 15(6), 819–835.
Vancouver
1.
Raes F, Cosyn J, De Bruyn H. Clinical, aesthetic and patient-related outcome of immediately loaded single implants in the anterior maxilla: a prospective study in extraction sockets, healed ridges and grafted sites. CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH. 2013;15(6):819–35.
MLA
Raes, Filiep, Jan Cosyn, and Hugo De Bruyn. “Clinical, Aesthetic and Patient-related Outcome of Immediately Loaded Single Implants in the Anterior Maxilla: a Prospective Study in Extraction Sockets, Healed Ridges and Grafted Sites.” CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH 15.6 (2013): 819–835. Print.