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- Title
Immediately provisionalized tapered conical connection implants for single-tooth restorations in the maxillary esthetic zone: a 5-year prospective single-cohort multicenter analysis.
- Authors
Baer, Russell A.; Nölken, Robert; Colic, Snjezana; Heydecke, Guido; Mirzakhanian, Christine; Behneke, Alexandra; Behneke, Nikolaus; Gottesman, Edward; Ottria, Liliana; Pozzi, Alessandro; Fügl, Alexander; Zechner, Werner
- Abstract
Objectives: This open, single-cohort, multicenter, prospective study investigated the efficacy of immediately provisionalized tapered conical connection implant for single-tooth restorations in the anterior and premolar regions of the maxilla after 5 years of function. Materials and methods: All implants were placed in healed sites and immediately provisionalized. MBLs, soft-tissue parameters, and oral-health impact profile (OHIP) were evaluated at implant insertion, 6, 12, 24, 36, and 60 months. Paired Wilcoxon signed-rank tests and Kaplan–Meier survival analysis was used for statistical and implant survival/success analyses, respectively. Results: Seventy-seven patients (81 implants) completed the 5-year follow-up. The 5-year cumulative survival and success rates were 97.8%, and the mean MBL change from implant insertion to 5 years was − 0.80 ± 1.13 mm. Optimal papilla index scores were observed at 90.1% of sites at 5 years compared with 32.8% of sites at insertion. Pink esthetic score, modified bleeding and plaque indices, and OHIP showed statistically significant improvement at the 5-year follow-up. Conclusions: Immediately provisionalized tapered conical connection implants promote marginal bone stability and excellent esthetic outcomes after 5 years of function. Clinical relevance: This treatment is a viable option for patients requiring immediately provisionalized single-tooth restorations in the esthetic zone and shows favorable long-term clinical outcomes, including marginal bone stability and excellent esthetics.
- Subjects
SURVIVAL rate; WILCOXON signed-rank test; TOOTHBRUSHES; SURVIVAL analysis (Biometry); MAXILLA
- Publication
Clinical Oral Investigations, 2022, Vol 26, Issue 4, p3593
- ISSN
1432-6981
- Publication type
Article
- DOI
10.1007/s00784-021-04328-2