Caroliene Meijndert

107 Immediate placement and restoration of a new tapered implant system in the aesthetic region Clinical variables, being the bleeding score (modified Sulcus Bleeding index (Mombelli et al., 1987) and pocket probing depth (using the Clickprobe with standard pressure of 0.2-0.25N of KerrHawe Dental Corporation, Bioggio, Switzerland) were scored. Patient satisfaction was scored on a 0-100 mm VAS-scale. Aesthetic outcome was rated on intra- oral photographs using the modified Pink and White Esthetic Score (PES-WES) (Belser et al., 2009). Results Results of the outcome measures are depicted in table 1 . No biological or technical complications had occurred during the whole follow-up time, all implants were stable and patients were very satisfied with the final result (survival rate 100%). The peri-implant characteristics of the patient of case 1 started with a gross deviation in midbuccal zenith of 2.24 mm more apical compare to the contralateral incisor. This was improved at the T 12 measurements, but a slight mismatch of 0.69 mm remained ( figure 5 ). This did not bother the patient therefore no further treatment was initiated. Clinical assessment showed one isolated bleeding on probing at the disto-buccal implant site. Pocket probing measured at this site was 3 mm. Radiographs showed high attachment of the bone to the implant up to the implant shoulder. Figure 5. An improvement (1.74 mm) of mid buccal zenith after one year compared to the situ- ation before treatment The peri-implant tissue of patient case 2 showed moderate peri-implant inflammation expressed by a confluent red line on probing, redness and slight edema of the gingiva sulcus. Pockets were ≤4 mm. Inflammatory signs were also detected at the neighbouring teeth showed by bleeding on probing and slight redness and edema of the sulcular borders and pockets ≤3 mm. Patient was pregnant at the time of T 12 follow-up. 6