Journal of Oral Implantology April 2013 - (Page 172)

CLINICAL Esthetic Evaluation of Single-Tooth Morse Taper Connection Implants Placed in Fresh Extraction Sockets or Healed Sites Francesco G. Mangano, DDS1* Carlo Mangano, MD, DDS2 Massimiliano Ricci, DDS3 Rachel L. Sammons, PhD4 Jamil A. Shibli, DDS, MS, PhD5 Adriano Piattelli, MD, DDS6 The aim of this study was to compare the esthetic outcome of single implants placed in fresh extraction sockets with those placed in fully healed sites of the anterior maxilla. This retrospective study was based on data from patients treated with single-tooth Morse taper connection implants placed in fresh extraction sockets and in fully healed sites of the anterior maxilla. Only single implant treatments were considered with both neighboring teeth present. Additional prerequisites for immediate implant treatment were intact socket walls and a thick gingival biotype. The esthetic outcome was objectively rated using the pink esthetic/white esthetic score (PES/WES). The Mann-Whitney U test was used to compare the PES and the WES between the 2 groups. Twenty-two patients received an immediate implant, and 18 patients had conventional implant surgery. The mean follow-up was 31.09 months (SD 5.57; range 24–46) and 34.44 months (SD 7.10; range 24–48) for immediately and conventionally inserted implants, respectively. No implants were lost. All implants fulfilled the success criteria. The mean PES/WES was 14.50 (SD 2.52; range 9–19) and 15.61 (SD 3.20; range 8–20) for immediately and conventionally placed implants, respectively. Immediate implants had a mean PES of 7.45 (SD 1.62; range 4–10) and a mean WES of 7.04 (SD 1.29; range 5–10). Conventional implants had a mean PES of 7.83 (SD 1.58; range 4–10) and a mean WES of 7.77 (SD 1.66; range 4–10). The difference between the 2 groups was not significant. Immediate and conventional single implant treatment yielded comparable esthetic outcomes. Key Words: immediate implant placement, esthetics, pink esthetic/white esthetic score (PES/WES), Morse taper connection implants INTRODUCTION 1 Private practice, Gravedona, Italy. Dental School, University of Varese, Varese, Italy. 3 Nanoworld Institute, University of Genoa, Genoa, Italy. 4 Dental School, University of Birmingham, Birmingham, UK. 5 Department of Periodontology, Dental Research Division, ˜ Guarulhos University, Guarulhos, Sao Paulo, Brazil. 6 Department of Oral Pathology and Oral Medicine, Dental School, University of Chieti-Pescara, Chieti, Italy. * Corresponding author, e-mail: DOI: 10.1563/AAID-JOI-D-11-00112 2 172 Vol. XXXIX /No. Two / 2013 I mmediate implant placement is defined as placement of a dental implant at the time of tooth extraction into the extraction socket. Immediate implant placement has several advantages, such as reduced number of surgeries and treatment time, as well as better patient acceptance, with the psychologic benefit of simultaneously replacing a lost tooth with an implant.1 Other potential benefits are the ability to place the fixture in an ideal axial position and the

Table of Contents for the Digital Edition of Journal of Oral Implantology April 2013

Evidence-Based Practice or Practice-Based Evidence?
Evaluation of Optimal Taper of Immediately Loaded Wide-Diameter Implants: A Finite Element Analysis
A Prospective, Randomized Controlled Preclinical Trial to Evaluate Different Formulations of Biphasic Calcium Phosphate in Combination With a Hydroxyapatite Collagen Membrane to Reconstruct Deficient Alveolar Ridges
Retention of Implant-Supported Overdenture With Bar/Clip and Stud Attachment Designs
The Clinical and Histologic Outcome of Dental Implant in Large Ridge Defect Regenerated With Alloplast: A Randomized Controlled Preclinical Trial
Fluoride-Treated Bio-Resorbable Synthetic Hydroxyapatite Promotes Proliferation and Differentiation of Human Osteoblastic MG-63 Cells
Resonance Frequency Analysis of 208 Straumann Dental Implants During the Healing Period
A Simplified Technique for Solving the Transfer Problem of Implant-Supported Fixed Partial Dentures for Patients With Microstomia
Esthetic Evaluation of Single-Tooth Morse Taper Connection Implants Placed in Fresh Extraction Sockets or Healed Sites
A Technique for Improving the Retention of Dentures Retained by Ramus Frame Implants
Treatment of Congenitally Missing Maxillary Lateral Incisors: An Interdisciplinary Approach
Use of Titanium Mesh in Lieu of a Fixation Screw to Stabilize an Autogenous Block Graft: A Case Report
A Novel Approach to Preserve the Buccal Wall in Immediate Implant Cases: A Clinical Report
Implant Failure Associated With Actinomycosis in a Medically Compromised Patient
Replacement of Mandibular Posterior Teeth With Implants in a Postmandibular Resection Case: A Case Report
Zygomatic Implants/Fixture: A Systematic Review
An Overview of Immediate Root Analogue Zirconia Implants
Letter to the Editor
Reviews of Current Literature

Journal of Oral Implantology April 2013