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Single-tooth implants in the maxillary incisor region with immediate provisionalization: 2-year prospective study
Mario Groisman1, William Meirelles Frossard, Helda Maria Barcellos Ferreira
1UNIGRANRIO University, Rio de Janeiro, Brazil. groisman@oralcare.com.br
Practical Procedures & Aesthetic Dentistry : PPAD
|May 30, 2003
Summary
Immediate, tapered dental implants in the maxillary incisor region show successful 2-year results. This technique maintains gum health around implants supporting temporary crowns.
Area of Science:
- Dentistry
- Oral Surgery
- Implantology
Background:
- Osseointegrated implants are crucial for aesthetic and predictable dental restorations.
- Immediate implant placement offers potential benefits in restorative treatment.
- Maxillary incisor region restoration presents unique aesthetic challenges.
Purpose of the Study:
- To evaluate the 2-year postoperative outcomes of immediate, single, tapered implants in the maxillary incisor region.
- To assess the success of simultaneously placed provisional implant-supported crowns.
- To determine the technique's impact on adjacent gingival architecture.
Main Methods:
- 92 immediate, single, tapered implants were placed in the maxillary incisor region.
- Provisional implant-supported crowns were placed simultaneously.
- Implants were reevaluated after 2 years for mobility, inflammation, and adverse reactions.
Main Results:
- A total of 92 implants were placed, with 6 implants lost (6.5% failure rate).
- 86 implants were successfully reevaluated, showing no signs of mobility or peri-implant inflammation.
- The technique demonstrated effectiveness in maintaining gingival architecture in selected cases.
Conclusions:
- Immediate, tapered implants in the maxillary incisor region provide predictable 2-year results.
- Simultaneous provisional crown placement is feasible with this technique.
- This approach can successfully preserve the gingival architecture around immediate transalveolar implants.