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Denis Cecchinato¹, Diego Lops, Giovanni E Salvi

¹Institute Franci, Padova, Italy.

Clinical Oral Implants Research

|December 5, 2013

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Dental implants show stable soft tissue results over three years, with significant papillary regrowth observed. Implant configuration and bone wall thickness did not impact these outcomes, indicating predictable treatment.

Area of Science:

Dental Implantology
Periodontology
Biomaterials Science

Background:

Peri-implant soft tissue health is crucial for long-term dental implant success.
Evaluating soft tissue response, including recession and papilla fill, is essential for assessing implant esthetics and function.
Different implant designs and patient-specific factors may influence soft tissue outcomes.

Purpose of the Study:

To assess peri-implant soft tissue response, specifically gingival recession and papilla index, in patients receiving two distinct implant configurations.
To analyze the influence of tooth category, smoking habits, and buccal bone wall thickness on soft tissue outcomes.
To determine the predictability of immediate single implant treatment for soft tissue stability over three years.

Main Methods:

Keywords:

Papilla Index gingival zenith immediate implant placement

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A prospective, randomized-controlled multicenter study involving 93 adult patients requiring maxillary implants.
Implants were either cylindrical or conical/cylindrical, placed after tooth extraction.
Soft tissue recession (gingival zenith) and interdental papilla index were measured at baseline and over a 3-year follow-up period, with data stratified by various patient and implant factors.

Main Results:

After 3 years, a mean gingival zenith gain of 0.23 mm was observed, indicating soft tissue stability.
79% of mesial and 72% of distal papillae showed >50% or complete fill.
No significant differences in gingival zenith scores were found between thin (≤1 mm) and thick (>1 mm) buccal bone walls, nor were other variables influential.

Conclusions:

Immediate single implant placement offers predictable soft tissue stability over a 3-year follow-up.
Both implant configurations demonstrated favorable papillary regrowth and midfacial mucosal stability.
Factors like implant type, tooth category, smoking, and buccal bone thickness did not negatively affect the observed soft tissue stability.