Soft and hard tissue maintenance following placement of immediate-loaded implants in the aesthetic zone: a prospective longitudinal clinical trial

Roberto S. PESSOA, Ravel M. SOUSA, Leandro M. PEREIRA, Thamires D. SILVA, Fabio J. B. BEZERRA, Rubens SPIN-NETO

Objective: To evaluate by clinical and radiographic bi- and tridimensional means the soft and hard tissues alterations following immediate implant placement and loading in postextraction sockets in the anterior maxilla. Material and methods: Ten patients, treated with immediate-loaded implants in the maxillary central or lateral incisors, were evaluated in this study. Clinical parameters were evaluated in standardized pictures taken at baseline (immediately after), and 1, 3, and 6 months after provisional implant-supported single crown placement. Bi- and tridimensional radiographic parameters were evaluated from standardized digital periapical radiographies and from CBCT images. The volume of the buccal bone wall covering the central millimeter of the implant was also assessed in the CBCT images. Results: The variation for all clinical, bi- and tridimensional parameters assessed was non-statistically significant. There was 94% maintenance of bone volume. Conclusions: The parameters assessed showed good clinical, bi- and tridimensional radiographic stability of soft and hard tissues for implants immediately placed and loaded in aesthetic zones.

Keywords: Clinical trial. Immediately loaded implant. Immediately placed implant.

How to cite: Pessoa RS, Souza RM, Pereira LM, Silva TD, Bezerra FJB, Spin-Neto R. Soft and hard tissue maintenance following the placement of immediate-loaded implants in the aesthetic zone: A prospective longitudinal clinical trial. Dental Press Implantol. 2015 Apr-Jun;9(2):100-9. doi: http://dx.doi.org/10.14436/2237-650X.9.2.100-109.oar

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