Esthetic Outcomes of Immediately Placed Implants with Convergent Transmucosal Profiles: A Retrospective Single-Cohort Study

Abstract

Purpose: To evaluate the esthetic outcomes and the patient-reported outcome measures (PROMs) of immediately placed implants with a convergent transmucosal profile.

Materials and methods: This single-cohort, monocentric, and retrospective clinical study was conducted on patients treated with immediately placed implants in the esthetic zone (from premolar to premolar in both arches). All the eligible patients were recalled for a clinical and radiographic follow-up visit.

Results: This study included 20 patients (20 implants; 8 males and 12 females) with an average age of 55.5 ± 6.8 years and a mean follow-up of 46.5 ± 15.3 months. At the time of follow-up, immediately placed implants showed a mean marginal bone loss of 0.42 ± 0.49 mm. A statistically significant improvement of the esthetic parameters from the immediate implant placement (baseline) to the last available follow-up was found for the pink and white esthetic scores (PES/WES) (P =.001) and the papilla index (PI) at the mesial and distal sites (P < .001). All the patients reported a high satisfaction (visual analog scale [VAS] > 9) both from an esthetic and functional point of view.

Conclusions: Immediately placed implants with a convergent transmucosal profile in the esthetic zone showed good clinical and esthetic outcomes, with stable results over time.

Keywords: cohort study; immediate placement; prostheses; tissue-level.