Caroliene Meijndert

89 Alvoalar ridge preservation in defect sockets in the maxillary aesthetic zone follow-up periods. The mid-buccal mucosa remained stable between the 1 st month and the 12 th month after definitive restoration placement (+0.01±0.45, p=0.91). a b c Figure 2. Soft tissue changes. a) pre-implant situation b) 1 month after definitive restoration placement c) 12 months after definitive restoration placement Table 4. Evaluation of the aesthetic outcome at T 12 (PES/WES) and mucosa level change from T 1 to T 12 (n=29). Aesthetic evaluation at T 12 (median [IQR]) PES 6 [4 ;7] WES 8 [7;9] Mucosa level changes from, mm (mean±SD) Mid-buccal mucosa +0.01 ± 0.45 Mesial papilla +0.13 ± 0.55 Distal papilla +0.17 ± 0.54 Patient satisfaction At baseline, before surgery, the patients gave an overall satisfaction score of 54.9 ± 21.0 on the VAS scale ( Table 5 ). This score increased significantly after the definitive implant restoration was placed, up to a mean score of 86.6 ± 10.3 at the T 12 follow-up (p<0.001). Items of function and presence of shame improved significantly between T pre and T 12 . Complications One patient lost the implant during the osseointegration period. A specific reason for this could not be found. This patient was successfully treated again after a healing period of 3 months. Other complications were minor: 4 participants reported they had lost some bone granules from the applied augmentation at the routine check-up two 5