Immediate Implant Placement in the Esthetic Zone: A Multi-Variate Analysis of Influencing Factors

IF 3.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Implant Dentistry and Related Research Pub Date : 2025-02-03 DOI:10.1111/cid.13439

Yixin Jin, Chen Deng, Xingmei Yang, Yi Man, Chen Hu

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引用次数: 0

Abstract

Objectives

To evaluate the dimensional reduction of the peri-implant hard tissues and esthetic outcome after immediate implant placement (IIP) in the esthetic zone.

Material and Methods

Patients who received IIP with bone grafts in the esthetic zone, with either immediate or delayed restoration, were included in this retrospective cohort study. The implants were categorized into three groups based on the labial bone thickness (LBT) before implantation: Group 1 (≤ 0.5 mm), Group 2 (0.5–1 mm), Group 3 (≥ 1 mm). The horizontal bone loss (HBL) at 0, 3, 5 mm apical to implant shoulder, peri-implant marginal bone loss (MBL), and Pink Esthetic Score (PES) were used to evaluate the hard and soft tissue after IIP.

Results

A total of 87 implants in 74 patients met the inclusion criteria. Compared to group 3, there was significant severe bone loss in the HBL-0 mm in groups 1 (p = 0.017); and the implant located in the central incisor position and female may led to increased bone resorption (p = 0.021, p = 0.061, respectively). For HBL-3 mm and HBL-5 mm, the non-immediate restoration may reduce bone resorption (p = 0.013, p = 0.022, respectively). The MBL during short-term follow-up and PES score showed no significant difference among three groups.

Conclusions

Despite limitations, our study found that LBT < 0.5 mm significantly affected horizontal bone loss. Meanwhile, immediate restoration, implant position of central incisors and female may also be considered as risk factors for HBL. However, the difference in the labial bone did not significantly affect MBL, or peri-implant soft tissue outcomes.

Trial Registration

This study was registered in a clinical trial registry (www.chictr.org.cn, No: ChiCTR2400087990)

查看原文本刊更多论文

即刻种植体植入美学区：影响因素的多元分析。

目的：评价美学区即刻种植体置入术（IIP）后种植体周围硬组织的缩小程度和美学效果。材料和方法：在审美区接受IIP骨移植的患者，无论是立即修复还是延迟修复，都被纳入了这项回顾性队列研究。根据种植前唇骨厚度（LBT）将种植体分为3组：1组（≤0.5 mm）、2组（0.5-1 mm）、3组（≥1 mm）。采用0、3、5 mm根尖至种植体肩的水平骨丢失（HBL）、种植体周围边缘骨丢失（MBL）和粉红色美学评分（PES）评价IIP术后的软硬组织。结果：74例患者共87颗种植体符合纳入标准。与3组比较，1组HBL-0 mm骨丢失严重（p = 0.017）；种植体位于中切牙位置和女性可能导致骨吸收增加（p = 0.021, p = 0.061）。对于HBL-3 mm和HBL-5 mm，非立即修复可减少骨吸收（p = 0.013, p = 0.022）。三组间短期随访MBL及PES评分差异无统计学意义。结论：尽管存在局限性，我们的研究发现LBT试验注册：该研究已在临床试验注册中心注册（www.chictr.org.cn, No: ChiCTR2400087990）。

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来源期刊

Clinical Implant Dentistry and Related Research 医学-牙科与口腔外科

CiteScore

6.00

自引率

13.90%

发文量

103

审稿时长

4-8 weeks

期刊介绍： The goal of Clinical Implant Dentistry and Related Research is to advance the scientific and technical aspects relating to dental implants and related scientific subjects. Dissemination of new and evolving information related to dental implants and the related science is the primary goal of our journal. The range of topics covered by the journals will include but be not limited to: New scientific developments relating to bone Implant surfaces and their relationship to the surrounding tissues Computer aided implant designs Computer aided prosthetic designs Immediate implant loading Immediate implant placement Materials relating to bone induction and conduction New surgical methods relating to implant placement New materials and methods relating to implant restorations Methods for determining implant stability A primary focus of the journal is publication of evidenced based articles evaluating to new dental implants, techniques and multicenter studies evaluating these treatments. In addition basic science research relating to wound healing and osseointegration will be an important focus for the journal.