title: Clinical and esthetic outcomes of single-tooth implants in the anterior maxilla.
abstract: The aim of this study was to evaluate the clinical and esthetic outcomes of 10 consecutive single-tooth implant restorations in the anterior maxilla. A specific treatment protocol consisting of (1) atraumatic extraction of the failing tooth, (2) placement of an SLActive bone-level implant with simultaneous guided bone regeneration at 6 to 8 weeks postextraction, (3) loading of a provisional restoration at 2 to 3 months following implant placement, (4) production of a customized impression coping, and (5) loading of the definitive all-ceramic abutment and crown 6 months after delivery of the provisional restoration was utilized in all cases. The outcomes were assessed 1 year after loading of the definitive restoration using standard clinical parameters: pink (PES) and white esthetic scores (WES). All implants were successfully integrated, accounting for a 100% survival and success rate. Besides clinical success, the application of the specific treatment protocol may be able to provide esthetically pleasing single-tooth implant restorations in the anterior maxilla, as was demonstrated by the results for PES (7.9 ± 1.7) and WES (7.0 ± 1.5).
authors.affiliation: Periodontology Unit, UCL Eastman Dental Institute, London, United Kingdom.
authors.forename: David
authors.initials: D
authors.lastname: Furze
authors.forename: Ashley
authors.initials: A
authors.lastname: Byrne
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Donos
authors.forename: Nikos
authors.initials: N
authors.lastname: Mardas
mesh_terms: D000328:Adult; D001861:Bone Regeneration / Q000502:physiology; D018786:Bone Substitutes / Q000627:therapeutic use; D002516:Ceramics / Q000737:chemistry; D015331:Cohort Studies; D003094:Collagen; D017076:Computer-Aided Design; D003442:Crowns; D000044:Dental Abutments; D003724:Dental Arch / Q000601:surgery; D003758:Dental Implantation, Endosseous / Q000379:methods; D019250:Dental Implants, Single-Tooth; D003761:Dental Impression Technique / Q000295:instrumentation; D003794:Dental Restoration, Temporary; D004955:Esthetics, Dental; D005260:Female; D016557:Guided Tissue Regeneration, Periodontal / Q000379:methods; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008567:Membranes, Artificial; D008875:Middle Aged; D008903:Minerals / Q000627:therapeutic use; D016348:Osseointegration / Q000502:physiology; D011446:Prospective Studies; D014081:Tooth Extraction; D016896:Treatment Outcome; D015040:Zirconium / Q000737:chemistry
chemical_list: C106416:Bio-Gide; C077540:Bio-Oss; D018786:Bone Substitutes; D008567:Membranes, Artificial; D008903:Minerals; D003094:Collagen; D015040:Zirconium