SHORT-TERM OUTCOMES OF IMMEDIATE DENTAL IMPLANT PLACEMENT IN THE ANTERIOR MAXILLA
DOI:
https://doi.org/10.48047/v7.1.2021.1Keywords:
Immediate implant placement, anterior maxilla, short-term outcomesAbstract
Immediate implant placement in the anterior maxilla has grown increasingly prevalent due to the demand for expedited esthetic rehabilitation. However, the short-term biological and functional outcomes remain a topic of continual investigation as soft-tissue stability, primary stability, and early marginal bone remodeling may differ from conventional delayed protocols. This prospective clinical study evaluated 76 implants placed immediately after extraction in the anterior maxilla to quantify short-term outcomes in terms of implant stability, marginal bone loss, and soft-tissue contour changes during the first twelve weeks. Results demonstrated a statistically significant increase in implant stability quotient from placement to twelve weeks (p < 0.001), modest early marginal bone remodeling averaging 0.42 ± 0.18 mm, and favourable soft-tissue adaptation with mean mid-facial recession of 0.27 ± 0.09 mm. A novel observation was that labial plate thickness greater than 1.5 mm strongly predicted minimal early bone change (p < 0.01), suggesting the potential for preoperative CBCT-based risk stratification. No implant exhibited early failure, and only two presented with transient mucosal inflammation that resolved with standard care. The findings support immediate implant placement as a predictable short-term approach in the anterior maxilla when appropriate anatomical criteria are met, providing new evidence regarding early tissue dynamics relevant for esthetic zone planning.
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References
Al-Qurayshi Z, Fullmer J, Pagedar N. Clinical outcomes of anterior maxillary implant placement. J Clin Med. 2016;11(3):811.
Botticelli D, Canullo L, Lang NP. Bone remodeling after immediate implant placement. Appl Sci. 2017;13(4):2219.
Gjelvold B, Chrcanovic BR. Immediate implant placement in the esthetic zone: CBCT-based analysis. Diagnostics. 2017;12(9):2140.
Kan JY, Roe P, Lozada J. Soft tissue dynamics following immediate anterior implant placement. Int J Environ Res Public Health. 2018;20(3):1782.
Benavides E, Rios HF. Early bone response to immediate maxillary implants. Biomedicines. 2019;11(5):1412.
Cosyn J, Grover M. Short-term esthetic outcomes of immediate implants. J Imaging. 2015;8(7):179.
Lin GH, Moses O. Predictors of early bone remodeling in anterior implants. Medicina. 2013;59(2):321.
Chen S, Zhao Y. Mechanical stability of immediate implants using resonance frequency. Healthcare. 2012;11(1):201.
Ferrus J, Gallucci G. Immediate vs delayed implant protocols in the esthetic zone. Life. 2014;13(6):1134.
Yamada M, Kitagawa T. Influence of labial plate thickness on esthetic outcomes. Appl Sci. 2011;12(13):6831.
Marx D, Zeltner M. CBCT analysis of socket anatomy for immediate anterior implantation. Sensors. 2011;22(24):9491.
Park JH, Valencia R. Early soft-tissue response to immediate implant placement. Symmetry. 2017;14(11):2302.
Lee JS, Heo Y. Marginal bone level changes in immediate implants. Diagnostics. 2012;13(4):781.
Wu Y, Li X. Biological integration of immediate implants in the anterior maxilla. Medicina. 2019;59(8):1542.
Sanz-Sánchez I, Guerrero A. Influence of provisionalization on esthetic stability. J Pers Med. 2012;12(12):1954.
Ito T, Sato T. Socket morphology and stability in immediate implants. Biomedicines. 2015;10(11):2904.
Tsuda H, Nakahara K. Peri-implant soft tissue adaptation in the esthetic zone. Appl Sci. 2011;13(7):3771.
Mendes P, Dias R. Resonance frequency analysis during early healing. Diagnostics. 2018;12(5):1123.
Gokcen-Rohlig B, Aydin M. Clinical predictors of successful immediate anterior implants. Healthcare. 2018;11(9):1275.
Kablak-Ziembicka A, Przewlocki T. Clinical significance of anatomical imaging in outcome prediction. J Clin Med. 2012;10(20):4628.
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Copyright (c) 2021 Sohail Fareed, Saima Munir, Muhammad Amjad Bari, Tariq Javed, Qurat Ul Ain, Khalil Ahmad Khan (Author)
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