A 5‐year prospective study on single immediate implants in the aesthetic zone

Abstract

Single immediate implants showed high implant survival and limited marginal bone loss in the long term. However, mid-facial recession, mid-facial contour and alveolar process deficiency deteriorated after 1 year. With an aesthetic complication rate of 8/17 in well-selected patients who had been treated by experienced clinicians, type I placement may not be recommended for daily practice.

A long‐term prospective cohort study on immediately restored single tooth implants inserted in extraction sockets and healed ridges: CBCT analyses, soft tissue alterations, aesthetic ratings, and patient‐reported outcomes

“…[12][13][14] Possible explanations may be a stringent selection ridges, yet only short-term data were published. [12][13][14] Possible explanations may be a stringent selection ridges, yet only short-term data were published.…”

“…2,7,8 demonstrated stable hard and soft tissues, and pleasing aesthetics at 6 years of follow-up for early implant placement (type II) and concomitant contour augmentation with guided bone regeneration. 11,12 In addition, Benic et al (2012) demonstrated an incomplete buccal bone wall in 5/14 patients who had been treated with an immediate implant 7 years earlier. Low risk for midfacial recession has also been reported for ridge preservation and single implant treatment in a delayed approach.…”

Influence of soft tissue grafting, orofacial implant position, and angulation on facial hard and soft tissue thickness at immediately inserted and provisionalized implants in the anterior maxilla

“…11 The necessity of a facial bony wall as a prerequisite for immediate insertion has been discussed controversially. 15,16 To the best of our knowledge, there is only one study that explored the relationship between labial tissue thickness and buccolingual implant angulation. 12,13 On the other hand, an influence of the extent of the facial bone defect and the alignment on the resulting facial soft tissue level have been documented.…”

The four‐layer graft technique, a hard and soft tissue graft from the tuberosity in one piece

“…Following these studies, clinical research has been focused on improving the esthetic outcome of immediate implant placement. Results from clinical studies have shown a high risk of midfacial recession following immediate implant placement in cases of an incomplete buccal bone wall . However, case series studies have reported reconstitution of the absent labial bone plate through different techniques .…”