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Bone-level implants placed in the anterior maxilla: an open-label, single-arm observational study
EnFeng Gao1, Wei-Hong Hei2,3, Jong-Chul Park3
1Department of Stomatology, China-Japan Friendship Hospital, Beijing, China.
Journal of Periodontal & Implant Science
|November 3, 2017
Summary
Bone-level implants in the anterior maxilla show successful osseointegration with minimal bone loss. Peri-implant soft tissues remained stable, leading to high patient and dentist satisfaction with esthetics.
Area of Science:
- Dental Implantology
- Periodontology
- Oral Surgery
Background:
- Single tooth gaps in the anterior maxilla present esthetic and functional challenges.
- Bone-level implants offer a solution for restoring missing teeth in this critical area.
Purpose of the Study:
- To evaluate marginal bone remodeling around single bone-level implants.
- To assess soft tissue esthetics and stability following implant loading in the anterior maxilla.
Main Methods:
- An observational clinical trial followed 22 patients with single tooth gaps (maxillary positions 14-24).
- Implants were placed post-extraction, followed by submerged healing and staged prosthesis placement.
- Marginal bone levels and esthetic parameters were assessed over 36 months post-loading.
Main Results:
- All implants achieved successful osseointegration with stable implant stability quotient.
- Minimal marginal bone resorption (<0.5 mm) was observed in 95.5% of implants.
- Stable peri-implant soft tissues and high esthetic satisfaction scores were reported.
Conclusions:
- Platform-switching bone-level implants are effective for single tooth replacement in the anterior maxilla.
- These implants demonstrate successful osseointegration and minimal bone loss.
- Esthetically pleasing and stable soft tissue outcomes can be achieved.

