Impact of placement and restoration timing on single‐implant esthetic outcome – a randomized clinical trial

Rieder, Dominik; Eggert, Jochen; Krafft, Tim; Weber, Hans‐Peter; Wichmann, Manfred; Heckmann, Siegfried M.

doi:10.1111/clr.12539

Cited by 31 publications

(82 citation statements)

References 40 publications

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“…An established threshold of 2 mm is defined to avoid this complication . These esthetic‐outcome findings are confirmed by Rieder et al in randomized clinical trials. The Pink Esthetic Scores of postextraction, immediately loaded implants were superior to those of immediate implant placement and delayed provisional restorations, early implant placement with immediate loading or early implant placement with early loading, and significantly superior when compared with the group with early implant placement and immediate loading.…”

Section: Timing Of Implant Placement/regenerative Procedures/skeletalsupporting

confidence: 72%

Implant placement in the esthetic area: criteria for positioning single and multiple implants

Testori

Weinstein

Scutellà³

et al. 2018

Periodontology 2000

112

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Patient expectations from implant treatment have changed over the years and esthetics plays an important role in defining what is now called success of rehabilitation. Of the many factors that influence the outcome of the rehabilitation, the two main ones are the bone and soft-tissue deficiencies at the intended implant site. Many surgical approaches are described in terms of timing of implant placement and management of regenerative procedures. The aim of this article is to discuss the different implant placement alternatives in the esthetic area, in particular: (i) the timing of implant placement/regenerative procedures/skeletal growth/altered passive eruption; (ii) the correct three-dimensional position of the fixture between the cuspids and in the premolar area; (iii) multiple missing teeth in the esthetic area with single tooth/pontic or cantilevered options/prosthetic compensation; (iv) placement of implants into infected sites; and (v) the influence of abutment and crown morphology on implant position. Combining our long-standing clinical experience and the pertinent literature, the following conclusions can be drawn: Immediate implant placement can be a successful procedure in terms of esthetics but it is technique sensitive and requires an experienced team. Immediate placement is less traumatic to the patient as fewer surgical procedures are involved and patients tend to prefer this clinical approach with regards to quality of life. The diagnostic phase is of utmost importance, with not only bone and soft tissue deficiencies being addressed but also: skeletal growth, dental/implant soft tissue parameters such as altered passive eruption and the morphology of the roots adjacent to the edentulous area. Post-extraction immediate loading is feasible in infected sites. The correct position of the fixture should follow widely accepted guidelines but the abutment morphologies play a role in the vestibular/palatal position of the implant. The long axis of the implant, aiming at the incisal edge of the future restorations, is the most appropriate implant position when a shoulder-less abutment is used and allows a restorative crown morphology with a cervical contour resembling a natural tooth. The use of a shoulder-less abutment gives more space for the tissue to grow compared with the traditional abutment with shoulder finish line.

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Section: Timing Of Implant Placement/regenerative Procedures/skeletalsupporting

confidence: 72%

Implant placement in the esthetic area: criteria for positioning single and multiple implants

Testori

Weinstein

Scutellà³

et al. 2018

Periodontology 2000

112

View full text Add to dashboard Cite

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“…[27][28][29][30] Taken together, these factors enable the stabilization of soft and hard tissues around these implants. Thus, it is possible to conclude that this is the best option when replacing a condemned tooth.…”

Section: Discussionmentioning

confidence: 99%

“…27 For many years, after a tooth was diagnosed as condemned, it was removed and a short period was allowed to pass (two to six months) before the next assessment. Should there be sufficient bone, implant placement was performed normally.…”

Section: ) Importance Of Buccal Gap Filling For Immediate Implantsmentioning

confidence: 99%

“…This gap should be filled with osteoconductive material in order to stabilize the bone plate and consequently maintain the entire gingival outline. [27][28][29][30] In cases when immediate implant torque is greater than 30 N/cm 2 , immediate loading is also recommended; however, without allowing it to occlude. If this torque is not achieved, it is better to adapt a temporary tooth to the adjacent teeth.…”

Section: ) Importance Of Buccal Gap Filling For Immediate Implantsmentioning

confidence: 99%

“…If this torque is not achieved, it is better to adapt a temporary tooth to the adjacent teeth. [27][28][29][30] Whenever the buccal gap is adequately filled, regardless of its size, immediate implant placement has been shown to be more predictable and stable, with less morbidity and better esthetic outcomes (Fig 8). [27][28][29][30] …”

Section: ) Importance Of Buccal Gap Filling For Immediate Implantsmentioning

confidence: 99%

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Clinical considerations for optimizing results in bone grafting: part II

Nóia¹,

Sá²,

Pinto³

et al. 2015

Dental Press Implantol

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Clinical and esthetic outcomes of immediate implant placement compared to alveolar ridge preservation: a systematic review and meta-analysis

et al. 2021

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Impact of placement and restoration timing on single‐implant esthetic outcome – a randomized clinical trial

Abstract: Immediate implant placement and restoration appear to be a viable alternative to early implant placement if an experienced surgeon is entrusted with the implantation procedure.

Cited by 31 publications

References 40 publications

Implant placement in the esthetic area: criteria for positioning single and multiple implants

Implant placement in the esthetic area: criteria for positioning single and multiple implants

Clinical considerations for optimizing results in bone grafting: part II

Clinical and esthetic outcomes of immediate implant placement compared to alveolar ridge preservation: a systematic review and meta-analysis

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