Immediately provisionalized tapered conical connection implants for single-tooth restorations in the maxillary esthetic zone: a 5-year prospective single-cohort multicenter analysis
| Autor: | Russell A. Baer, Robert Nölken, Snjezana Colic, Guido Heydecke, Christine Mirzakhanian, Alexandra Behneke, Nikolaus Behneke, Edward Gottesman, Liliana Ottria, Alessandro Pozzi, Alexander Fügl, Werner Zechner |
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| Rok vydání: | 2021 |
| Předmět: |
Dental Implants
Immediate Dental Implant Loading Esthetics Esthetics Dental Anterior maxilla Bone remodeling Settore MED/28 Immediate provisionalization Dental Implants Single-Tooth Treatment Outcome Conical connection Dental Prosthesis Design Soft tissue response Maxilla Humans Prospective Studies General Dentistry Follow-Up Studies |
| Zdroj: | Clinical oral investigations. 26(4) |
| ISSN: | 1436-3771 |
| Popis: | Objectives This open, single-cohort, multicenter, prospective study investigated the efficacy of immediately provisionalized tapered conical connection implant for single-tooth restorations in the anterior and premolar regions of the maxilla after 5 years of function. Materials and methods All implants were placed in healed sites and immediately provisionalized. MBLs, soft-tissue parameters, and oral-health impact profile (OHIP) were evaluated at implant insertion, 6, 12, 24, 36, and 60 months. Paired Wilcoxon signed-rank tests and Kaplan–Meier survival analysis was used for statistical and implant survival/success analyses, respectively. Results Seventy-seven patients (81 implants) completed the 5-year follow-up. The 5-year cumulative survival and success rates were 97.8%, and the mean MBL change from implant insertion to 5 years was − 0.80 ± 1.13 mm. Optimal papilla index scores were observed at 90.1% of sites at 5 years compared with 32.8% of sites at insertion. Pink esthetic score, modified bleeding and plaque indices, and OHIP showed statistically significant improvement at the 5-year follow-up. Conclusions Immediately provisionalized tapered conical connection implants promote marginal bone stability and excellent esthetic outcomes after 5 years of function. Clinical relevance This treatment is a viable option for patients requiring immediately provisionalized single-tooth restorations in the esthetic zone and shows favorable long-term clinical outcomes, including marginal bone stability and excellent esthetics. |
| Databáze: | OpenAIRE |
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