Kim, T.-H., Oh, Y.-K., Jeong, C.-M., Ko, E. C., Sándor, G. K., & Kim, Y.-D. (2020). Soft Tissue Evaluation of an Immediate Esthetic Zone Single Implant with a Stereolithographic Guide Using 3D Reconstruction and a CAD/CAM Customized Titanium Anatomic Abutment. Applied Sciences, 10(5), 1678. doi:10.3390/app10051678
Soft tissue evaluation of an immediate esthetic zone single implant with a stereolithographic guide using 3D reconstruction and a CAD/CAM customized titanium anatomic abutment
|Author:||Kim, Tae-Heung1; Oh, You-Kyoung2; Jeong, Chang-Mo3;|
1Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan 50612, Korea
2Department of Prosthodontics, School of Dentistry, Pusan National University, Yangsan 50612, Korea
3Department of Prosthodontics, School of Dentistry, Pusan National University, Dental and Life Science Institute & Dental Research Institute, Yangsan 50612, Korea
4Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
5Department of Oral and Maxillofacial Surgery, Oulu University Hospital and Medical Research Center, University of Oulu, 90220 Oulu, Finland
6Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Dental and Life Science Institute & Dental Research Institute, Yangsan 50612, Korea
|Online Access:||PDF Full Text (PDF, 1.3 MB)|
|Persistent link:|| http://urn.fi/urn:nbn:fi-fe202003198544
Multidisciplinary Digital Publishing Institute,
|Publish Date:|| 2020-03-19
The replacement of an unrestorable tooth with a single implant-supported prosthesis is a treatment with predictable and successful outcomes. The anterior maxilla region is a complicated site for such treatment, due to its esthetic, functional, and physiological sensitivity. The purpose of this study was to evaluate the changes in the soft tissue following an immediate implant procedure using guided surgery in combination with a computer-aided design and computer-aided manufacturing (CAD/CAM) customized titanium anatomic abutment in the esthetic zone. A total of 13 patients who had been treated with an immediate post-extraction implant placement and an immediate provisional restoration were included in the study. The changes in the soft tissue dimension, interdental papilla, and esthetic score were evaluated with a follow-up of at least one year. There was no significant change in the midfacial mucosal status when compared to the pre-treatment situation. The recession of the mesial papillary height was 0.32 mm and the distal papillary height was 0.10 mm. The mean horizontal change in the labial mucosa was 0.32 ± 0.83 mm. There was no significant difference between the mesial papilla index and the distal papilla index. The pink esthetic score value prior to treatment was 11.16, and at one-year follow-up, 10.25. Within the limitations of this study, the immediate post-extraction implant placement procedure with a stereolithographic guide and a provisionalization with a CAD/CAM customized titanium anatomic abutment may be a treatment option with predictable outcomes for the replacement of teeth in the esthetic zone.
|Type of Publication:||
A1 Journal article – refereed
|Field of Science:||
This work was supported by a 2-Year Research Grant of Pusan National University. Funding was also provided by the Ministry of Social Affairs and Health, through the State Research Funding Programme.
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