Immediate implant placement and provisionalisation in the aesthetic zone

W. G. Van Nimwegen*, R. J. Goene, A. C. L. Van Daelen, K. Stellingsma, G. M. Raghoebar, H. J. A. Meijer

*Corresponding author for this work

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The aim of this retrospective study was to assess the outcome of immediate single-tooth implant placement and provisionalisation in the aesthetic zone regarding hard and soft peri-implant tissue parameters and patient-related outcome measures in a private practice. All consecutively treated patients with single-tooth immediate implant placement and provisionalisation between the period 1 January 2006 and 1 April 2013 in a referral practice in Amsterdam, the Netherlands, were included in the study. Fifty-one patients of a total of 64 could be examined at follow-up (Tfollow-up). Radiographs were present from implant placement (T-placement), after definitive crown placement (T-definitive), and new radiographs were taken at the follow-up appointment (Tfollow-up). Next to this, soft tissue parameters, patients' satisfaction and professionals' aesthetic scores were measured at Tfollow-up. Implant survival was 969% after a mean follow-up period of 4 years following implant placement. At definitive crown placement, mean marginal bone-level loss was 025 mm (SD 019). Mean marginal bone-level loss following definitive crown placement was 006 mm (SD 010) (T-definitive to Tfollow-up) after a mean follow-up period of 4 years. Plaque index, bleeding index and gingival index scores were low. Patients' satisfaction was rated very high: 90 (SD 07). Professionals aesthetic score was 1649 (SD 186). From this study can be concluded that immediate placement of implants followed by immediate provisionalisation resulted in a high survival rate, minimum peri-implant bone loss, very good aesthetics and satisfied patients after a mean follow-up period of 4 years.

Original languageEnglish
Pages (from-to)745-752
Number of pages8
JournalJournal of Oral Rehabilitation
Issue number10
Publication statusPublished - Oct-2016


  • dental implants
  • aesthetic region
  • immediate placement
  • immediate provisionalization
  • fresh extraction socket

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