title: Esthetic evaluation of single-tooth Morse taper connection implants placed in fresh extraction sockets or healed sites.
abstract: The aim of this study was to compare the esthetic outcome of single implants placed in fresh extraction sockets with those placed in fully healed sites of the anterior maxilla. This retrospective study was based on data from patients treated with single-tooth Morse taper connection implants placed in fresh extraction sockets and in fully healed sites of the anterior maxilla. Only single implant treatments were considered with both neighboring teeth present. Additional prerequisites for immediate implant treatment were intact socket walls and a thick gingival biotype. The esthetic outcome was objectively rated using the pink esthetic/white esthetic score (PES/WES). The Mann-Whitney U test was used to compare the PES and the WES between the 2 groups. Twenty-two patients received an immediate implant, and 18 patients had conventional implant surgery. The mean follow-up was 31.09 months (SD 5.57; range 24-46) and 34.44 months (SD 7.10; range 24-48) for immediately and conventionally inserted implants, respectively. No implants were lost. All implants fulfilled the success criteria. The mean PES/WES was 14.50 (SD 2.52; range 9-19) and 15.61 (SD 3.20; range 8-20) for immediately and conventionally placed implants, respectively. Immediate implants had a mean PES of 7.45 (SD 1.62; range 4-10) and a mean WES of 7.04 (SD 1.29; range 5-10). Conventional implants had a mean PES of 7.83 (SD 1.58; range 4-10) and a mean WES of 7.77 (SD 1.66; range 4-10). The difference between the 2 groups was not significant. Immediate and conventional single implant treatment yielded comparable esthetic outcomes.
authors: Francesco G
authors: FG
authors: Mangano
authors: Carlo
authors: C
authors: Mangano
authors: Massimiliano
authors: M
authors: Ricci
authors: Rachel L
authors: RL
authors: Sammons
authors: Jamil A
authors: JA
authors: Shibli
authors: Adriano
authors: A
authors: Piattelli
mesh_terms: D000180:Acrylic Resins / Q000737:chemistry; D000293:Adolescent; D000328:Adult; D016301:Alveolar Bone Loss / Q000000981:diagnostic imaging; D003442:Crowns; D059605:Dental Implant-Abutment Design; D019250:Dental Implants, Single-Tooth; D003764:Dental Materials / Q000737:chemistry; D017267:Dental Prosthesis Design; D003794:Dental Restoration, Temporary; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D005881:Gingiva / Q000033:anatomy & histology; D006801:Humans; D057893:Immediate Dental Implant Loading; D008297:Male; D008437:Maxilla / Q000601:surgery; D008875:Middle Aged; D016348:Osseointegration / Q000502:physiology; D023861:Photography, Dental; D011859:Radiography; D012189:Retrospective Studies; D016019:Survival Analysis; D014081:Tooth Extraction; D020390:Tooth Socket / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult
chemical_list: D000180:Acrylic Resins; D003764:Dental Materials