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dc.contributor.authorKhzam, Nabil
dc.contributor.authorArora, Himanshu
dc.contributor.authorKim, Paul
dc.contributor.authorFisher, Anthony
dc.contributor.authorMattheos, Nikos
dc.contributor.authorIvanovski, Saso
dc.date.accessioned2018-10-11T00:33:19Z
dc.date.available2018-10-11T00:33:19Z
dc.date.issued2015
dc.identifier.issn0022-3492
dc.identifier.doi10.1902/jop.2015.150287
dc.identifier.urihttp://hdl.handle.net/10072/123472
dc.description.abstractBackground: The aim of this review is to assess the outcome of single‐tooth immediate implant placement and restoration (IPR) in the maxillary anterior region, with a particular emphasis on soft tissue and esthetic outcomes. Methods: An electronic search in Medline, EBSCOhost, and Ovid (PubMed) was performed to identify studies that reported on soft tissue outcomes following immediate placement and restoration of implants in the maxillary esthetic region with a mean follow‐up of ≥1 year. Results: Nineteen studies on single implants inserted immediately into fresh extraction sockets and provisionally restored in the maxillary esthetic region were included. Soft tissue changes were found to be acceptable, with most studies reporting mean gingival recession of 0.27 ± 0.38 mm and mean papillary height loss of 0.23 ± 0.27 mm after follow‐up of ≥1 year. Advanced buccal recession (>1 mm) occurred in 11% of cases. Long‐term follow‐up studies (>2 years) reported that the interdental papillae, in particular, showed a tendency to rebound over time. The few studies that reported on patient‐centered outcomes showed a high level of patient satisfaction with the outcomes of IPR treatment. Conclusions: The IPR protocol resulted in generally acceptable soft tissue and esthetic outcomes, with suboptimal results reported in ≈11% of low‐risk cases. Factors such as preoperative tissue biotype or use of a flap or connective tissue graft did not significantly influence soft tissue and esthetic outcomes. Long‐term prospective controlled clinical trials are necessary to identify factors that may influence the esthetic outcomes associated with IPR.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherAmerican Academy of Periodontology
dc.relation.ispartofpagefrom1321
dc.relation.ispartofpageto1330
dc.relation.ispartofissue12
dc.relation.ispartofjournalJournal of Periodontology
dc.relation.ispartofvolume86
dc.subject.fieldofresearchDentistry not elsewhere classified
dc.subject.fieldofresearchDentistry
dc.subject.fieldofresearchcode110599
dc.subject.fieldofresearchcode1105
dc.titleSystematic Review of Soft Tissue Alterations and Esthetic Outcomes Following Immediate Implant Placement and Restoration of Single Implants in the Anterior Maxilla
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionAccepted Manuscript (AM)
gro.facultyGriffith Health, School of Dentistry and Oral Health
gro.rights.copyright© 2015 John Wiley & Sons, Ltd. This is the peer reviewed version of the following article: Systematic Review of Soft Tissue Alterations and Esthetic Outcomes Following Immediate Implant Placement and Restoration of Single Implants in Journal of Periodontology, Volume 86, Issue 12, Pages 1321-1330, 2015, which has been published in final form at https://doi.org/10.1902/jop.2015.150287. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
gro.hasfulltextFull Text
gro.griffith.authorIvanovski, Saso
gro.griffith.authorKhzam, Nabil
gro.griffith.authorKim, Paul M.
gro.griffith.authorFisher, Anthony G.
gro.griffith.authorArora, Himanshu


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