Clinical and radiologic evaluation of 70 immediately loaded single implants in the maxillary esthetic zone: preliminary results after 1 year of functional loading.
OBJECTIVE
A key challenge in implant treatment in the esthetic zone is to provide patients with crowns and peri-implant mucosa that are in harmony with the adjacent teeth to restore both function and esthetics. The aim of the present study was to show the preliminary results of an immediate loading protocol in the maxillary esthetic zone that is designed to preserve the soft tissue.


METHODS
Patients were treated with immediately loaded single-tooth implants (Seven, MIS). Implants were inserted in fresh postextraction sites or in single edentulous sites with clinically and radiologically healed bone. After 8 weeks of loading, the provisional crowns and abutments were modified as needed to enhance the esthetics of the gingival margins. Definitive restorations were delivered 4 to 6 months postoperatively.


RESULTS
Seventy patients were treated; 25 implants were placed in fresh extraction sites, and the remaining 45 implants were inserted in healed single edentulous sites. All implants were stable, and radiographs showed complete osseointegration after 1 year of functional loading.


CONCLUSIONS
The present study shows promising results for immediate loading of single implants. All implant sites fulfilled success criteria in terms of function and esthetics, and particularly promising results were seen following additional adjustments of the provisional restorations to preserve interdental papillae.
dialbertiluca@yahoo.it
Luca
L
Di Alberti
Federica
F
Donnini
Claudio
C
Di Alberti
Michele
M
Camerino
Nicola
N
Sgaramella
Lorenzo
L
Lo Muzio
D000293:Adolescent; D000328:Adult; D000368:Aged; D016301:Alveolar Bone Loss / Q000000981:diagnostic imaging*; D000539:Alveolar Process / Q000000981:diagnostic imaging; D003442:Crowns; D003758:Dental Implantation, Endosseous / Q000379:methods; D019250:Dental Implants, Single-Tooth; D019094:Dental Prosthesis, Implant-Supported; D003794:Dental Restoration, Temporary; D004955:Esthetics, Dental; D005260:Female; D005889:Gingival Recession / Q000517:prevention & control*; D006801:Humans; D057893:Immediate Dental Implant Loading; D007180:Incisor; D008297:Male; D008437:Maxilla; D008875:Middle Aged; D016348:Osseointegration; D017060:Patient Satisfaction; D011859:Radiography; D020390:Tooth Socket / Q000601:surgery; D016896:Treatment Outcome; D014732:Vibration; D055815:Young Adult