Immediate placement and immediate restoration of single tooth implants in post-extraction sites in the aesthetic region

Single implant treatment in the maxillofacial aesthetic zone has been shown to be a highly reliable treatment procedure for the rehabilitation of a single failing tooth or a single missing tooth (den Hartog et al. 2008; 2011, Jung et al. 2012; Slagter et al. 2014; Zuiderveld et al. 2018).
Currently, there is a growing tendency to place single tooth dental implants in this zone immediately after extraction of a failing tooth in the fresh extraction socket (Del Fabbro et al.2015; Arora et al. 2017) as an alternative to early (<8 weeks after tooth extraction) or delayed placed implants (>8 weeks after tooth extraction). Presumably, this tendency is related to evolving society factors, with more demanding patients and a wish for a direct result. Innovations in implant surfaces and designs have facilitated the possibilities for such an approach (Lang et al. 2012). There is evidence that clinical, radiographic and aesthetic outcome is comparable for immediate and delayed procedures (Slagter et al. 2015, 2016). Due to this outcome, new guidelines have been introduced leading to immediate placement and immediate provisionalization if possible and ridge preservation in cases of large bone defects (Van Nimwegen et al. 2018).
The introduction of intraoral scanning technology could be a next step to reduce treatment discomfort and treatment time. It is claimed that digital technology will optimize the treatment workflow by providing more comfort and safety for the patient and by requiring less operating time than conventional treatment (Schepke et al. 2015; Joda and Brägger 2016; Mangano et al. 2017; Galllardo et al. 2018 ). Treatment outcome with respect to fit of restorations is claimed to be better or at least just as good when produced with a digital workflow and has been extensively analyzed in comparative studies. (Chochlidakis et al. 2016; Tsirogiannis et al. 2016; Ahlholm et al. 2018).
Full digital workflows with registration of time/complications during the diagnostic/planning/manufacturing process, together with evaluation of clinical and radiographical performance, PROM’s, PES/WES during the follow-up period have never been subject of investigation in single tooth implant treatment of failing or missing teeth in the maxillary aesthetic region.
Therefore, the aim of the prospective case series study, with full digital workflow, is to evaluate single tooth implant treatment for patients with failing or missing teeth in the maxillary aesthetic region, with respect to registration of time/complications during the diagnostic/planning/manufacturing process, evaluation of clinical and radiographical performance and aesthetic outcome.

Patients with a satisfaction rate of 80 or more

pre-treatment, 1 month and 1 year evaluation

Dental implant treatment