Caroliene Meijndert
100 Chapter 6 Abstract Aim : To assess the clinical, radiographic, aesthetic and patient centred outcomes of a tapered implant system applied for an immediate implant placement and restoration approach in single tooth replacement of anterior maxillary teeth. Material and Method : Three cases were treated with a new bone level tapered implant. All patients were treated with the same strategy involving flapless extraction and implant placement with simultaneous augmentation. Implants were provisionally restored with a screw-retained restoration at the day of surgery. Definitive restoration was fabricated after 3 months. Follow-up was one year after definitive restoration. Results : At the 1 year follow-up, the implants were stable and no complications had occurred. Peri-implant bone levels had increased with a mean value of 0.24±0.30mm between definitive restoration placement and 1 year of follow- up. Clinical outcome scores showed healthy soft tissues. Mean Pink and White Esthetic scores were rated 7.0 and 7.3, respectively. Mean patient satisfaction had improved from 55.7 (pre-treatment) to 90.0 (1 year follow-up) on a 0-100 VAS scale. Conclusion : Immediate implant placement and restoration with the new tapered bone level implant system is accompanied by good initial clinical and radiographic results as well as high patient satisfaction.
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