Soft tissue behavior around dental implants placed in fresh extraction sockets and immediately restored in esthetic area: a preliminary short-term evaluation

BRESCOVITT, Ronaldo Antonio; THOMÉ, Geninho; MELO, Ana Claúdia Moreira; SILVA, Ricarda Duarte da

doi:10.1590/1807-2577.21216

Brasil

home Sumário navigate_before Anterior Atual Seguinte navigate_next

home Sumário

Original Articles • Rev. odontol. UNESP 46 (4) • Jul-Aug 2017 • https://doi.org/10.1590/1807-2577.21216 linkcopy

Soft tissue behavior around dental implants placed in fresh extraction sockets and immediately restored in esthetic area: a preliminary short-term evaluation

Comportamento dos tecidos moles ao redor de implantes instalados em alvéolos frescos e imediatamente restaurados em área estética: uma avaliação preliminar a curto-prazo

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective To assess the behavior of the peri-implant soft margin after immediate implant placement with immediate function, by (1) direct clinical measurements of peri-implant soft margin height and thickness, (2) measurements of peri-implant soft margin height on photographs and (3) the perception of dental professionals regarding the results considering esthetic parameters.

Material and method The study included 8 patients with central or lateral incisors indicated to be extracted. Direct measurements of peri-implant soft margin height and thickness were done immediately before extraction (T0) and 1 (T1), 4 (T2), 8 (T3) and 12 (T4) months after the flapless insertion of the implant. Photographs were taken at the same time intervals. A questionnaire was filled in by implantology professionals regarding their visual perception of color and peri-implant soft margin architecture and harmony in the implant region using the photographs obtained at T4.

Result The clinical results showed significant changes to the height of the peri-implant soft margin, but the photographic results did not show significant changes for this measurement. The thickness of the attached gingiva was maintained during all the observation period. Of the professionals interviewed, 35.2% noticed an altered peri-implant soft margin color of the implant region, 39.8% noticed a change in the peri-implant soft margin architecture and 12.5% noticed a change in the peri-implant soft margin harmony.

Conclusion The soft tissues around immediate implants changed during this period, but did not affect the aesthetic outcome and in the opinion of professionals, the aesthetic results were satisfactory for these cases.

Descriptors: Dental implants; maxilla; esthetics

Moment of evaluation	Gingiva height						p ^{^} Non-parametric Friedman’s test, p<0.05.
Moment of evaluation	n	Mean	Median	Minimum	Maximum	SD	p ^{^} Non-parametric Friedman’s test, p<0.05.
T0	8	5.38	6.0	2.0	9.0	2.26
T1	8	5.19	6.0	2.0	8.0	2.10
T2	8	5.13	6.0	2.0	8.0	2.17
T3	8	4.88	5.3	2.0	8.0	2.05
T4	8	4.81	5.3	2.0	8.0	2.02	0.002
^{^} Non-parametric Friedman’s test, p<0.05. ANOVA, p<0.05
		Gingiva thickness
T0	8	1.94	2.0	1.5	2.0	0.18
T1	8	1.94	2.0	1.5	2.0	0.18
T2	8	1.88	2.0	1.5	2.0	0.23
T3	8	1.91	2.0	1.5	2.0	0.18
T4	8	1.89	2.0	1.5	2.0	0.18	0.637

Comparisons	P value ^{^*} ***** Non-parametric Friedman’s test, p<0.05.
T0 x T1	0.300
T0 x T2	0.108
T0 x T3	0.001
T0 x T4	<0.001
T1 x T2	0.551
T1 x T3	0.008
T1 x T4	0.001
T2 x T3	0.031
T2 x T4	0.005
T3 x T4	0.457

Moment of evaluation	Gingiva height						p value ^{^} Non-parametric Friedman’s test, p<0.05.
Moment of evaluation	n	Mean	Median	Minimum	Maximum	SD	p value ^{^} Non-parametric Friedman’s test, p<0.05.
T0	8	0.48	0.4	0.0	1.1	0.42
T1	8	0.46	0.4	0.0	1.0	0.33
T4	8	0.50	0.3	0.2	1.2	0.39	0.507

Case	Number (percent) of the evaluators that perceived and alteration
Case	Color	Architecture	Harmony
1	1 (9.1%)	4 (36.4%)	1 (9.1%)
2	6 (54.5%)	5 (45.5%)	0 (0%)
3	5 (45.5%)	3 (27.3%)	0 (0%)
4	10 (90.9%)	8 (72.7%)	1 (9.1%)
5	0 (0%)	1 (9.1%)	3 (27.3%)
6	0 (0%)	1 (9.1%)	2 (18.2%)
7	1 (9.1%)	4 (36.4%)	2 (18.2%)
8	8 (72.7%)	9 (81.8%)	2 (18.2%)
Mean	35.2%	39.8%	12.5%
Median	27.3%	36.4%	13.6%
Minimum	0%	9.1%	0%
Maximum	90.9%	81.8%	27.3%
SD	35.5%	26.6%	9.6%

vertical_align_top file_download show_chart

more_horizclose
- image
- translate
- link
- article
- vertical_align_top
- file_download
- show_chart
- image
- translate
- link
- article

location_on

Universidade Estadual Paulista Júlio de Mesquita Filho Rua Humaitá, 1680 - Caixa Postal 331, 14801-903 Araraquara,São Paulo,SP, Tel.: (55 16) 3301-6376, Fax: (55 16) 3301-6433 - Araraquara - SP - Brazil
E-mail: adriana@foar.unesp.br

rss_feed Acompanhe os números deste periódico no seu leitor de RSS

Acessibilidade / Reportar erro

[1] SD: standard deviation;

[TFN1] ^*
Non-parametric Friedman’s test, p<0.05.