Clinical Performance of Immediately Placed and Restored Implants With a Novel Design in the Esthetic Zone. A 3‐Year Follow‐Up of Prospective Case Series

TL;DR

This study shows that a new implant design used immediately after tooth removal in the front of the mouth has high success and patient satisfaction after three years.

Contribution

A novel tapered implant design with progressive threads is evaluated for immediate placement and restoration in the esthetic zone.

Findings

100% implant survival rate was observed at 24 and 36 months.

No significant changes in gum health indicators were found over time.

Patients reported high satisfaction with the treatment after 36 months.

Abstract

To assess the medium‐term implant success and survival rates of immediately placed and restored implants with a novel design in the esthetic zone.

A total of n = 20 patients had received immediately placed tapered, two‐part implants with a progressive thread design (PL) (n = 20) and an immediate “non full‐functional” loading (patient‐specific abutments) for single tooth replacements in the anterior maxilla. Implant survival and success (e.g., bleeding on probing—BOP, probing pocket depth—PD, mucosal recession—MR) were assessed at 24 and 36 months following final restoration (i.e., 12 weeks after implant placement). Patient‐reported outcomes were evaluated at 36 months.

A total of four patients were lost to follow‐up, resulting in 16 patients included in the analysis. At 24 and 36 months, implant survival amounted to 100%, respectively. Non‐significant changes to baseline were noted at 24 and 36 months for mean BOP (9.37 (29.7)%, 9.38 (26.5)%), PD (−0.45 (0.88)mm, −0.34 (0.74)mm), and MR (0.0 (0.0)mm, 0.0 (0.02)mm) values. Pink esthetic score—PES values amounted to 13.0 (1.22) and 12.62 (1.42) at 24 and 36 months. Technical and mechanical complications were not observed. Patients expressed an overall high satisfaction at 36 months.

The presented immediacy protocol was associated with high survival and success rates as well as a high patient satisfaction in the medium‐term.

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