Primary stability and PES/WES evaluation for immediate implants in the aesthetic zone: a pilot clinical double-blind randomized study

Abstract The use of immediate implants in the aesthetic area is a technique widely used in modern implantology. The characteristics of the patient, the implant, and the surgical procedure used may influence the final results. The aim was to assess whether the implant design affects primary (P.S.) an...

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Autores principales: Arturo Sanchez-Perez, Ana I. Nicolas-Silvente, Carmen Sanchez-Matas, Silvia Molina-García, Carlos Navarro-Cuellar, Georgios E. Romanos
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/13d42007c4e44900b16d1520fec3ce26
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spelling oai:doaj.org-article:13d42007c4e44900b16d1520fec3ce262021-12-02T18:01:47ZPrimary stability and PES/WES evaluation for immediate implants in the aesthetic zone: a pilot clinical double-blind randomized study10.1038/s41598-021-99218-82045-2322https://doaj.org/article/13d42007c4e44900b16d1520fec3ce262021-10-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-99218-8https://doaj.org/toc/2045-2322Abstract The use of immediate implants in the aesthetic area is a technique widely used in modern implantology. The characteristics of the patient, the implant, and the surgical procedure used may influence the final results. The aim was to assess whether the implant design affects primary (P.S.) and secondary stability (S.S.), bone level (B.L.), and PES/WES evaluation. Twenty implants with two different designs (n = 10) were immediately placed and randomly located in the upper anterior maxilla with no grafting material. Implant-Stability-Quotient (ISQ), B.L., and Pink-Esthetic-Score/White-Esthetic-Score (PES/WES) were evaluated. Shapiro–Wilk normality test was performed to determine the sample normality, as the data did not follow a normal distribution, the Wilcoxon-Mann–Whitney test was applied (p < 0.05). ISQ was determined at placement (PS): control 59.1 (C.I.54.8–63.3); experimental 62.2(C.I.60.1–64.2) and three months after placement (SS): control 62.2.1 (C.I.53.3–71.0); experimental 67.2(C.I.65.8–68.5). The BL was measured at three months after placement: control 0.38 mm (C.I.− 0.06 to  + 0.83); experimental 0.76 mm (C.I.0.33–1.19) and at 12 months post-loading: control 0.07 mm (C.I.− 0.50–0.65); experimental 0.90 mm (C.I.0.38–1.42). PES/WES values were evaluated for the control group: 15 (C.I.12.68–17.32), and for the experimental group 15.20 (C.I.11.99–18.41). No significant differences were shown between both implant designs. A good grade of osseointegration and primary/secondary stability was achieved, as well as proper maintenance of crestal bone and adequate PES/WES scores. The criteria for selection for the ideal patient for immediate implant placement is essential. ClinicalTrials Protocol ID: NCT04343833.Arturo Sanchez-PerezAna I. Nicolas-SilventeCarmen Sanchez-MatasSilvia Molina-GarcíaCarlos Navarro-CuellarGeorgios E. RomanosNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Arturo Sanchez-Perez
Ana I. Nicolas-Silvente
Carmen Sanchez-Matas
Silvia Molina-García
Carlos Navarro-Cuellar
Georgios E. Romanos
Primary stability and PES/WES evaluation for immediate implants in the aesthetic zone: a pilot clinical double-blind randomized study
description Abstract The use of immediate implants in the aesthetic area is a technique widely used in modern implantology. The characteristics of the patient, the implant, and the surgical procedure used may influence the final results. The aim was to assess whether the implant design affects primary (P.S.) and secondary stability (S.S.), bone level (B.L.), and PES/WES evaluation. Twenty implants with two different designs (n = 10) were immediately placed and randomly located in the upper anterior maxilla with no grafting material. Implant-Stability-Quotient (ISQ), B.L., and Pink-Esthetic-Score/White-Esthetic-Score (PES/WES) were evaluated. Shapiro–Wilk normality test was performed to determine the sample normality, as the data did not follow a normal distribution, the Wilcoxon-Mann–Whitney test was applied (p < 0.05). ISQ was determined at placement (PS): control 59.1 (C.I.54.8–63.3); experimental 62.2(C.I.60.1–64.2) and three months after placement (SS): control 62.2.1 (C.I.53.3–71.0); experimental 67.2(C.I.65.8–68.5). The BL was measured at three months after placement: control 0.38 mm (C.I.− 0.06 to  + 0.83); experimental 0.76 mm (C.I.0.33–1.19) and at 12 months post-loading: control 0.07 mm (C.I.− 0.50–0.65); experimental 0.90 mm (C.I.0.38–1.42). PES/WES values were evaluated for the control group: 15 (C.I.12.68–17.32), and for the experimental group 15.20 (C.I.11.99–18.41). No significant differences were shown between both implant designs. A good grade of osseointegration and primary/secondary stability was achieved, as well as proper maintenance of crestal bone and adequate PES/WES scores. The criteria for selection for the ideal patient for immediate implant placement is essential. ClinicalTrials Protocol ID: NCT04343833.
format article
author Arturo Sanchez-Perez
Ana I. Nicolas-Silvente
Carmen Sanchez-Matas
Silvia Molina-García
Carlos Navarro-Cuellar
Georgios E. Romanos
author_facet Arturo Sanchez-Perez
Ana I. Nicolas-Silvente
Carmen Sanchez-Matas
Silvia Molina-García
Carlos Navarro-Cuellar
Georgios E. Romanos
author_sort Arturo Sanchez-Perez
title Primary stability and PES/WES evaluation for immediate implants in the aesthetic zone: a pilot clinical double-blind randomized study
title_short Primary stability and PES/WES evaluation for immediate implants in the aesthetic zone: a pilot clinical double-blind randomized study
title_full Primary stability and PES/WES evaluation for immediate implants in the aesthetic zone: a pilot clinical double-blind randomized study
title_fullStr Primary stability and PES/WES evaluation for immediate implants in the aesthetic zone: a pilot clinical double-blind randomized study
title_full_unstemmed Primary stability and PES/WES evaluation for immediate implants in the aesthetic zone: a pilot clinical double-blind randomized study
title_sort primary stability and pes/wes evaluation for immediate implants in the aesthetic zone: a pilot clinical double-blind randomized study
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/13d42007c4e44900b16d1520fec3ce26
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