Immediate versus delayed implant placement in the esthetic zone: a prospective 3D volumetric assessment of peri-implant tissue stability
Abstract Purpose To evaluate the volumetric stability of peri-implant soft and hard tissue prospectively, this study compared immediate versus delayed implants placed in the anterior esthetic region. Methods This non-randomized controlled clinical study included 25 patients, who received an immediat...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-11-01
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| Series: | International Journal of Implant Dentistry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40729-022-00457-9 |
| _version_ | 1828280936485093376 |
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| author | Puria Parvini Katharina Melissa Müller Emilio A. Cafferata Frank Schwarz Karina Obreja |
| author_facet | Puria Parvini Katharina Melissa Müller Emilio A. Cafferata Frank Schwarz Karina Obreja |
| author_sort | Puria Parvini |
| collection | DOAJ |
| description | Abstract Purpose To evaluate the volumetric stability of peri-implant soft and hard tissue prospectively, this study compared immediate versus delayed implants placed in the anterior esthetic region. Methods This non-randomized controlled clinical study included 25 patients, who received an immediate (type 1) or a delayed (type 4) implant placement for the replacement of a single anterior tooth. The anterior maxillae were intraorally scanned at three timepoints: before surgery (S0), 6 months (S1), and 12 months (S2) after surgery. A specific region of interest (ROI), divided into marginal and apical regions, was determined and superimposed for volumetric changes analysis. At 6 and 12 months, the probing depth (PD), bleeding/suppuration on probing (BOP/SUP), modified plaque index (PI), keratinized mucosa (KM) width, mucosal recession (MR), and implant stability (PTV) by means of periotest were recorded. Results Between S0–S2, tissue surrounding immediate implants was reduced in 0.37 ± 0.31 mm, whereas delayed implants gained 0.84 ± 0.57 mm mean tissue volume. Peri-implant tissue loss at type 1 implants occurred primarily in the marginal section of the ROI (0.42 ± 0.31 mm), whereas tissue gain at type 4 implants occurred mainly in the apical section (0.83 ± 0.51 mm). These values were significantly different between both groups for the entire ROI (p = 0.0452) and the marginal region (p = 0.0274). In addition, the mean buccal KM width around type 1 implants was significantly wider in comparison with the type 4 implants group after 12 months (p = 0.046). There were no significant differences between groups regarding PD, BOP/SUP, or PTV. Conclusions The results suggest that type 1 implants placed in the esthetic region experience more tissue loss than type 4 implants, thus marginal tissue remodeling should be considered for planning immediate implants placement in the anterior maxillae. Graphical Abstract |
| first_indexed | 2024-04-13T08:06:52Z |
| format | Article |
| id | doaj.art-65a0091f65f04bd19e5923e2a903791f |
| institution | Directory Open Access Journal |
| issn | 2198-4034 |
| language | English |
| last_indexed | 2024-04-13T08:06:52Z |
| publishDate | 2022-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | International Journal of Implant Dentistry |
| spelling | doaj.art-65a0091f65f04bd19e5923e2a903791f2022-12-22T02:55:07ZengSpringerOpenInternational Journal of Implant Dentistry2198-40342022-11-018111110.1186/s40729-022-00457-9Immediate versus delayed implant placement in the esthetic zone: a prospective 3D volumetric assessment of peri-implant tissue stabilityPuria Parvini0Katharina Melissa Müller1Emilio A. Cafferata2Frank Schwarz3Karina Obreja4Department of Oral Surgery and Implantology, Goethe University, CarolinumDepartment of Oral Surgery and Implantology, Goethe University, CarolinumDepartment of Oral Surgery and Implantology, Goethe University, CarolinumDepartment of Oral Surgery and Implantology, Goethe University, CarolinumDepartment of Oral Surgery and Implantology, Goethe University, CarolinumAbstract Purpose To evaluate the volumetric stability of peri-implant soft and hard tissue prospectively, this study compared immediate versus delayed implants placed in the anterior esthetic region. Methods This non-randomized controlled clinical study included 25 patients, who received an immediate (type 1) or a delayed (type 4) implant placement for the replacement of a single anterior tooth. The anterior maxillae were intraorally scanned at three timepoints: before surgery (S0), 6 months (S1), and 12 months (S2) after surgery. A specific region of interest (ROI), divided into marginal and apical regions, was determined and superimposed for volumetric changes analysis. At 6 and 12 months, the probing depth (PD), bleeding/suppuration on probing (BOP/SUP), modified plaque index (PI), keratinized mucosa (KM) width, mucosal recession (MR), and implant stability (PTV) by means of periotest were recorded. Results Between S0–S2, tissue surrounding immediate implants was reduced in 0.37 ± 0.31 mm, whereas delayed implants gained 0.84 ± 0.57 mm mean tissue volume. Peri-implant tissue loss at type 1 implants occurred primarily in the marginal section of the ROI (0.42 ± 0.31 mm), whereas tissue gain at type 4 implants occurred mainly in the apical section (0.83 ± 0.51 mm). These values were significantly different between both groups for the entire ROI (p = 0.0452) and the marginal region (p = 0.0274). In addition, the mean buccal KM width around type 1 implants was significantly wider in comparison with the type 4 implants group after 12 months (p = 0.046). There were no significant differences between groups regarding PD, BOP/SUP, or PTV. Conclusions The results suggest that type 1 implants placed in the esthetic region experience more tissue loss than type 4 implants, thus marginal tissue remodeling should be considered for planning immediate implants placement in the anterior maxillae. Graphical Abstracthttps://doi.org/10.1186/s40729-022-00457-9Immediate implantationDelayed implantationIntraoral scanVolumetric analysis |
| spellingShingle | Puria Parvini Katharina Melissa Müller Emilio A. Cafferata Frank Schwarz Karina Obreja Immediate versus delayed implant placement in the esthetic zone: a prospective 3D volumetric assessment of peri-implant tissue stability International Journal of Implant Dentistry Immediate implantation Delayed implantation Intraoral scan Volumetric analysis |
| title | Immediate versus delayed implant placement in the esthetic zone: a prospective 3D volumetric assessment of peri-implant tissue stability |
| title_full | Immediate versus delayed implant placement in the esthetic zone: a prospective 3D volumetric assessment of peri-implant tissue stability |
| title_fullStr | Immediate versus delayed implant placement in the esthetic zone: a prospective 3D volumetric assessment of peri-implant tissue stability |
| title_full_unstemmed | Immediate versus delayed implant placement in the esthetic zone: a prospective 3D volumetric assessment of peri-implant tissue stability |
| title_short | Immediate versus delayed implant placement in the esthetic zone: a prospective 3D volumetric assessment of peri-implant tissue stability |
| title_sort | immediate versus delayed implant placement in the esthetic zone a prospective 3d volumetric assessment of peri implant tissue stability |
| topic | Immediate implantation Delayed implantation Intraoral scan Volumetric analysis |
| url | https://doi.org/10.1186/s40729-022-00457-9 |
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