title: [Individualized restorative designs and clinical evaluation for dental implants in the anterior esthetic zone with inappropriate conditions].
abstract: OBJECTIVE
  To offer individualized restorative strategies for patients receiving dental implants in the anterior esthetic zone but with inappropriate available conditions and evaluate the clinical outcomes.
  
  
  METHODS
  Forty-six patients with 58 implants were recruited for the study in accordance with the criteria and received individualized implant prostheses in the anterior esthetic zone. The patients were followed up for 3-24 months, and the clinical outcomes were evaluated by pink and white esthetic scores (PES/WES).
  
  
  RESULTS
  The patients were from 18 to 69 years old, and followed up for 12.6 months in average. According to the third month follow-up esthetic scores, for PES, 1.72% of the patients got low scores, 44.83% got medium scores and 53.45% got high scores; For WES, 0% got low scores, 20.69% got medium scores and 79.31% got high scores. No implant failure or peri-implantitis occurred.
  
  
  CONCLUSIONS
  Individualized restorative designs for implants in the esthetic zone can effectively improve the appearance of the prostheses which originally have no appropriate available space. Close follow-up and monitoring of the peri-implant soft tissue and proper oral hygiene instructions are important to ensure the conditions of the prostheses.
authors.affiliation: Institute of Stomatology, Nanjing Medical University. Nanjing 210029;Jiangsu Province, China.E-mail:katherineday47@hotmail.com.
authors.forename: Wen-yong
authors.initials: WY
authors.lastname: Dai
authors.forename: Guo-xing
authors.initials: GX
authors.lastname: Zhou
authors.forename: Xiao-zhen
authors.initials: XZ
authors.lastname: Zhang
authors.forename: Yi
authors.initials: Y
authors.lastname: Zhao
authors.forename: Jie
authors.initials: J
authors.lastname: Wang
authors.forename: Yi
authors.initials: Y
authors.lastname: Yang
authors.forename: Zhi-jun
authors.initials: ZJ
authors.lastname: Zhu
authors.forename: Chun-bo
authors.initials: CB
authors.lastname: Tang
mesh_terms: D003442:Crowns; D015921:Dental Implants; D019250:Dental Implants, Single-Tooth; D019094:Dental Prosthesis, Implant-Supported; D004954:Esthetics; D004955:Esthetics, Dental; D005500:Follow-Up Studies; D006801:Humans; D008437:Maxilla; D016896:Treatment Outcome
chemical_list: D015921:Dental Implants