Soft Tissue Evaluation of an Immediate Esthetic Zone Single Implant with a Stereolithographic Guide Using 3D Reconstruction and a CAD/CAM Customized Titanium Anatomic Abutment
The replacement of an unrestorable tooth with a single implant-supported prosthesis is a treatment with predictable and successful outcomes. The anterior maxilla region is a complicated site for such treatment, due to its esthetic, functional, and physiological sensitivity. The purpose of this study...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2020-03-01
|
Series: | Applied Sciences |
Subjects: | |
Online Access: | https://www.mdpi.com/2076-3417/10/5/1678 |
id |
doaj-226ad17d736e40f0b02c8251a15b9a78 |
---|---|
record_format |
Article |
spelling |
doaj-226ad17d736e40f0b02c8251a15b9a782020-11-25T02:15:07ZengMDPI AGApplied Sciences2076-34172020-03-01105167810.3390/app10051678app10051678Soft Tissue Evaluation of an Immediate Esthetic Zone Single Implant with a Stereolithographic Guide Using 3D Reconstruction and a CAD/CAM Customized Titanium Anatomic AbutmentTae-Heung Kim0You-Kyoung Oh1Chang-Mo Jeong2Edward Chengchuan Ko3George K. Sándor4Yong-Deok Kim5Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan 50612, KoreaDepartment of Prosthodontics, School of Dentistry, Pusan National University, Yangsan 50612, KoreaDepartment of Prosthodontics, School of Dentistry, Pusan National University, Dental and Life Science Institute & Dental Research Institute, Yangsan 50612, KoreaDepartment of Oral and Maxillofacial Surgery, Kaohsiung Medical University, Kaohsiung 80708, TaiwanDepartment of Oral and Maxillofacial Surgery, Oulu University Hospital and Medical Research Center, University of Oulu, 90220 Oulu, FinlandDepartment of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Dental and Life Science Institute & Dental Research Institute, Yangsan 50612, KoreaThe replacement of an unrestorable tooth with a single implant-supported prosthesis is a treatment with predictable and successful outcomes. The anterior maxilla region is a complicated site for such treatment, due to its esthetic, functional, and physiological sensitivity. The purpose of this study was to evaluate the changes in the soft tissue following an immediate implant procedure using guided surgery in combination with a computer-aided design and computer-aided manufacturing (CAD/CAM) customized titanium anatomic abutment in the esthetic zone. A total of 13 patients who had been treated with an immediate post-extraction implant placement and an immediate provisional restoration were included in the study. The changes in the soft tissue dimension, interdental papilla, and esthetic score were evaluated with a follow-up of at least one year. There was no significant change in the midfacial mucosal status when compared to the pre-treatment situation. The recession of the mesial papillary height was 0.32 mm and the distal papillary height was 0.10 mm. The mean horizontal change in the labial mucosa was 0.32 ± 0.83 mm. There was no significant difference between the mesial papilla index and the distal papilla index. The pink esthetic score value prior to treatment was 11.16, and at one-year follow-up, 10.25. Within the limitations of this study, the immediate post-extraction implant placement procedure with a stereolithographic guide and a provisionalization with a CAD/CAM customized titanium anatomic abutment may be a treatment option with predictable outcomes for the replacement of teeth in the esthetic zone.https://www.mdpi.com/2076-3417/10/5/1678immediate post-extraction implant placementesthetic zonepre-fabricated customized abutmentimmediate provisionalizationguided implant surgerystereolithography |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tae-Heung Kim You-Kyoung Oh Chang-Mo Jeong Edward Chengchuan Ko George K. Sándor Yong-Deok Kim |
spellingShingle |
Tae-Heung Kim You-Kyoung Oh Chang-Mo Jeong Edward Chengchuan Ko George K. Sándor Yong-Deok Kim Soft Tissue Evaluation of an Immediate Esthetic Zone Single Implant with a Stereolithographic Guide Using 3D Reconstruction and a CAD/CAM Customized Titanium Anatomic Abutment Applied Sciences immediate post-extraction implant placement esthetic zone pre-fabricated customized abutment immediate provisionalization guided implant surgery stereolithography |
author_facet |
Tae-Heung Kim You-Kyoung Oh Chang-Mo Jeong Edward Chengchuan Ko George K. Sándor Yong-Deok Kim |
author_sort |
Tae-Heung Kim |
title |
Soft Tissue Evaluation of an Immediate Esthetic Zone Single Implant with a Stereolithographic Guide Using 3D Reconstruction and a CAD/CAM Customized Titanium Anatomic Abutment |
title_short |
Soft Tissue Evaluation of an Immediate Esthetic Zone Single Implant with a Stereolithographic Guide Using 3D Reconstruction and a CAD/CAM Customized Titanium Anatomic Abutment |
title_full |
Soft Tissue Evaluation of an Immediate Esthetic Zone Single Implant with a Stereolithographic Guide Using 3D Reconstruction and a CAD/CAM Customized Titanium Anatomic Abutment |
title_fullStr |
Soft Tissue Evaluation of an Immediate Esthetic Zone Single Implant with a Stereolithographic Guide Using 3D Reconstruction and a CAD/CAM Customized Titanium Anatomic Abutment |
title_full_unstemmed |
Soft Tissue Evaluation of an Immediate Esthetic Zone Single Implant with a Stereolithographic Guide Using 3D Reconstruction and a CAD/CAM Customized Titanium Anatomic Abutment |
title_sort |
soft tissue evaluation of an immediate esthetic zone single implant with a stereolithographic guide using 3d reconstruction and a cad/cam customized titanium anatomic abutment |
publisher |
MDPI AG |
series |
Applied Sciences |
issn |
2076-3417 |
publishDate |
2020-03-01 |
description |
The replacement of an unrestorable tooth with a single implant-supported prosthesis is a treatment with predictable and successful outcomes. The anterior maxilla region is a complicated site for such treatment, due to its esthetic, functional, and physiological sensitivity. The purpose of this study was to evaluate the changes in the soft tissue following an immediate implant procedure using guided surgery in combination with a computer-aided design and computer-aided manufacturing (CAD/CAM) customized titanium anatomic abutment in the esthetic zone. A total of 13 patients who had been treated with an immediate post-extraction implant placement and an immediate provisional restoration were included in the study. The changes in the soft tissue dimension, interdental papilla, and esthetic score were evaluated with a follow-up of at least one year. There was no significant change in the midfacial mucosal status when compared to the pre-treatment situation. The recession of the mesial papillary height was 0.32 mm and the distal papillary height was 0.10 mm. The mean horizontal change in the labial mucosa was 0.32 ± 0.83 mm. There was no significant difference between the mesial papilla index and the distal papilla index. The pink esthetic score value prior to treatment was 11.16, and at one-year follow-up, 10.25. Within the limitations of this study, the immediate post-extraction implant placement procedure with a stereolithographic guide and a provisionalization with a CAD/CAM customized titanium anatomic abutment may be a treatment option with predictable outcomes for the replacement of teeth in the esthetic zone. |
topic |
immediate post-extraction implant placement esthetic zone pre-fabricated customized abutment immediate provisionalization guided implant surgery stereolithography |
url |
https://www.mdpi.com/2076-3417/10/5/1678 |
work_keys_str_mv |
AT taeheungkim softtissueevaluationofanimmediateestheticzonesingleimplantwithastereolithographicguideusing3dreconstructionandacadcamcustomizedtitaniumanatomicabutment AT youkyoungoh softtissueevaluationofanimmediateestheticzonesingleimplantwithastereolithographicguideusing3dreconstructionandacadcamcustomizedtitaniumanatomicabutment AT changmojeong softtissueevaluationofanimmediateestheticzonesingleimplantwithastereolithographicguideusing3dreconstructionandacadcamcustomizedtitaniumanatomicabutment AT edwardchengchuanko softtissueevaluationofanimmediateestheticzonesingleimplantwithastereolithographicguideusing3dreconstructionandacadcamcustomizedtitaniumanatomicabutment AT georgeksandor softtissueevaluationofanimmediateestheticzonesingleimplantwithastereolithographicguideusing3dreconstructionandacadcamcustomizedtitaniumanatomicabutment AT yongdeokkim softtissueevaluationofanimmediateestheticzonesingleimplantwithastereolithographicguideusing3dreconstructionandacadcamcustomizedtitaniumanatomicabutment |
_version_ |
1724897686216245248 |