Immediate implant placement for single failed maxillary anterior teeth after trauma: a case-series study.

Abstract

Background: The purpose of this retrospective evaluation was to assess the treatment outcomes following immediate implant placement for single failed maxillary anterior teeth after trauma. Moreover, both objective and subjective esthetic assessments were conducted.

Methods: Immediate implant placement was performed on thirty-two patients who had a single untreatable, traumatic tooth in the anterior maxilla. At the one-year mark following the final restoration, marginal bone changes, pink/white esthetic scores (PES/WES), and patient satisfaction data were collected. Factors such as age, sex, gingival biotype, thickness of the buccal bone wall, and size of the jumping gap were considered potential influences on the clinical results, with their relationships being examined.

Results: The implant survival rate was 100% after one year of final restoration., with marginal bone changes measuring - 0.17 ± 0.31 mm mesially and - 0.22 ± 0.28 mm distally. Additionally, the PES averaged 10.7, whereas the WES averaged 7.3. On the patient side, esthetic satisfaction scored an average of 8.89 on the visual analog scale. Interestingly, no significant correlations were found between potential factors and esthetic scores or patient satisfaction.

Conclusions: In the initial year following the final restoration, immediate implant placement for single failed maxillary anterior teeth post-trauma demonstrated promising clinical outcomes both objectively and subjectively.