IMPACT OF IMMEDIATE AND NON-IMMEDIATE PROVISIONALIZATION ON THE SOFT TISSUE ESTHETICS OF FINAL RESTORATIONS ON IMMEDIATELY PLACED IMPLANTS
한종현, 이근우, 한동후, 정문규, 백정원, 김선재,
소속 상세정보
한종현 ( Han Chong-Hyun ) - 연세대학교 치과대학 치과보철학교실
이근우 ( Lee Keun-Woo ) - 연세대학교 치과대학 치과보철학교실
한동후 ( Han Dong-Hoo ) - 연세대학교 치과대학 치과보철학교실
정문규 ( Chung Moon-Kyu ) - 연세대학교 치과대학 치과보철학교실
백정원 ( Paik Jeong-Won ) - 성균관대학교 의과대학 삼성서울병원 대장센터 외과학교실
김선재 ( Kim Sun-Jai ) - 연세대학교 치과대학 치과보철학교실
KMID : 0362420080460030238
Abstract
Statement of Problem: Interpoximal papilla could be re-established without immeidate support with a provisional resotration following an immdiate implant placement.
Purpose: Successful esthetic outcomes were reported utilizing immediate provisionalization following immediate implant placements. The aim of this study was to evaluate the soft tissue esthetics around immediately placed single tooth
implant restorations with or without immediate provisional restorations.
Methods: A total of ten patients, who had a hopeless maxillary anterior tooth, were enrolled in this study. Screw retained provisional restorations were delivered to the randomly chosen 5 patients (immediate provisionalization group) on the day of immediate implant placement and maintained for about 5 months. For the remaining five patients (non-immediate provisionalization group), healing abutments were delivered on the day of surgery, replaced with screw retained provisional restorations approximately 3 months afterwards, and the provisional restorations were maintained for about 3 months. Digital photographs were taken at the delivery of final restorations in order to assess following variables; mesial papilla, distal papilla, soft tissue level, soft tissue contour and facial soft tissue prominence. The variables were compared to those of the contralateral natural tooth and scored by prosthodontists, periodontists, orthodontists and dental students.
Results: The immediate provisionalization group marked significantly higher scores on the following variables; soft tissue level and facial soft tissue prominence. In evaluating each variable, there were no notable differences in opinion between four dentist groups.
Conclusion: Immediate provisionalization can be a treatment option to achieve superior soft tissue esthetics around immediately placed single implant restorations rather than non-immediate provisionalization approaches.
키워드
Soft tissue esthetics;Immediate implant;Immediate provisionalization
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