title: Immediate implant placement and provisionalisation in the aesthetic zone.
abstract: The aim of this retrospective study was to assess the outcome of immediate single-tooth implant placement and provisionalisation in the aesthetic zone regarding hard and soft peri-implant tissue parameters and patient-related outcome measures in a private practice. All consecutively treated patients with single-tooth immediate implant placement and provisionalisation between the period 1 January 2006 and 1 April 2013 in a referral practice in Amsterdam, the Netherlands, were included in the study. Fifty-one patients of a total of 64 could be examined at follow-up (Tfollow-up ). Radiographs were present from implant placement (Tplacement ), after definitive crown placement (Tdefinitive ), and new radiographs were taken at the follow-up appointment (Tfollow-up ). Next to this, soft tissue parameters, patients' satisfaction and professionals' aesthetic scores were measured at Tfollow-up . Implant survival was 96·9% after a mean follow-up period of 4 years following implant placement. At definitive crown placement, mean marginal bone-level loss was 0·25 mm (SD 0·19). Mean marginal bone-level loss following definitive crown placement was 0·06 mm (SD 0·10) (Tdefinitive to Tfollow-up ) after a mean follow-up period of 4 years. Plaque index, bleeding index and gingival index scores were low. Patients' satisfaction was rated very high: 9·0 (SD 0·7). Professionals aesthetic score was 16·49 (SD 1·86). From this study can be concluded that immediate placement of implants followed by immediate provisionalisation resulted in a high survival rate, minimum peri-implant bone loss, very good aesthetics and satisfied patients after a mean follow-up period of 4 years.
authors.affiliation: Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands. w.g.van.nimwegen@umcg.nl.
authors.forename: W G
authors.initials: WG
authors.lastname: Van Nimwegen
authors.affiliation: Department of Oral and Maxillofacial Surgery, VU University Medical Center and Academic Center for Dentistry Amsterdam, Amsterdam, The Netherlands.|Private Practice, Amsterdam, The Netherlands.
authors.forename: R J
authors.initials: RJ
authors.lastname: Goené
authors.affiliation: Department of Oral and Maxillofacial Surgery, VU University Medical Center and Academic Center for Dentistry Amsterdam, Amsterdam, The Netherlands.|Private Practice, Amsterdam, The Netherlands.
authors.forename: A C L
authors.initials: AC
authors.lastname: Van Daelen
authors.affiliation: Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: K
authors.initials: K
authors.lastname: Stellingsma
authors.affiliation: Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: G M
authors.initials: GM
authors.lastname: Raghoebar
authors.affiliation: Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.|Department of Fixed and Removable Prosthodontics, Dental School, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: H J A
authors.initials: HJ
authors.lastname: Meijer
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016301:Alveolar Bone Loss / Q000523:psychology / Q000601:surgery*; D003442:Crowns; D019250:Dental Implants, Single-Tooth / Q000523:psychology; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D057893:Immediate Dental Implant Loading / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: aesthetic region; dental implants; fresh extraction socket; immediate placement; immediate provisionalization