Prosthetic treatment of maxillary lateral incisor agenesis with osseointegrated implants: a 24-39-month prospective clinical study.
OBJECTIVE
The present study aimed at evaluating the marginal bone resorption and the peri-implant tissue conditions around Narrow-Neck ITI implants in the implant-prosthetic treatment of the agenesis of maxillary lateral incisors.


METHODS
Thirty patients affected by monolateral or bilateral agenesis of the maxillary lateral incisors were selected. Thirty-four ITI-SLA Narrow Neck implants were inserted and loaded about 4 months after the surgical procedure. The final restorations were realized using Aureo Galvan Crowns veneered with feldspathic ceramics. The follow-up period ranged from 24 to 39 months. Both marginal bone resorption and soft tissue quality were evaluated. The data were statistically analysed using analysis of variance (ANOVA) for repeated measures, one-way ANOVA and Tukey's post hoc test (P=0.05).


RESULTS
During the 24-39-month follow-up period, no implant showed either pain and sensitivity or mobility. After 39 months of functional loading, a cumulative survival rate of 97.06% and a cumulative success rate of 94.12% were calculated.


CONCLUSIONS
In case of maxillary lateral incisor agenesis, the implant-prosthetic approach has proved to be a reliable and predictable treatment for both re-establishment of function and aesthetics. Satisfactory values of marginal bone resorption over time and optimal conditions of peri-implant tissue around Narrow-Neck ITI implants were found.
Zarone
Fernando
F
Department of Fixed Prosthodontics, University of Naples Federico II, Naples, Italy. zarone@unina.it
Sorrentino
Roberto
R
Vaccaro
Francesco
F
Russo
Simona
S
D000328:Adult; D016301:Alveolar Bone Loss / Q000175:diagnosis; D000704:Analysis of Variance; D000848:Anodontia / Q000534:rehabilitation*; D003442:Crowns; D003758:Dental Implantation, Endosseous; D019250:Dental Implants, Single-Tooth; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D005260:Female; D005889:Gingival Recession / Q000175:diagnosis; D006801:Humans; D007180:Incisor / Q000002:abnormalities*; D008297:Male; D008437:Maxilla; D008875:Middle Aged; D016348:Osseointegration; D010512:Periodontal Index; D011446:Prospective Studies; D018709:Statistics, Nonparametric