Influence of the fixed implant-supported provisional phase on the esthetic final outcome of implant-supported crowns: 3-year results of a randomized controlled clinical trial.

Furze, David; Byrne, Ashley; Alam, Sonia; Brägger, Urs; Wismeijer, Daniel; Wittneben, Julia-Gabriela (2019). Influence of the fixed implant-supported provisional phase on the esthetic final outcome of implant-supported crowns: 3-year results of a randomized controlled clinical trial. Clinical implant dentistry and related research, 21(4), pp. 649-655. Wiley 10.1111/cid.12796

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OBJECTIVES The aim of this investigation was to evaluate whether the use of a provisional implant-supported crown improves the final esthetic outcome of implant crowns that are placed within esthetic sites. MATERIALS AND METHODS Twenty endosseous implants were inserted in sites 13 to 23 (FDI) in 20 patients. Following the reopening procedure, a randomization process assigned them to either cohort group 1: a provisional phase with soft tissue conditioning using the "dynamic compression technique" or cohort group 2: without a provisional phase. Screw-retained all ceramic crowns were inserted. Clinical follow-up appointments were completed at 36 months evaluating clinical, radiographic outcomes, and implant success and survival. RESULTS After 3 years, all implants survived; one implant-supported crown was excluded from the study due to adjacent tooth failure replaced with a further implant supported crown. Modified pink esthetic score (ModPES) scores were significantly different between groups 1 and 2 (P = .018); white esthetic scores (WES) were not statistically different between both groups (P = .194). Mean values of combined modPES and WES were 15.6 for group 1, with a SD of 3.20. Group 2 had a mean combined modPES and WES of 12.2, with a SD of 3.86. Mean bone loss after 3 year was -0.05 and -0.04 mm for groups 1 and 2 respectively, without being statistically significant. CONCLUSION Fixed implant-supported provisionals improve the final esthetic outcome of the peri-implant mucosa.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Reconstructive Dentistry and Gerodontology

UniBE Contributor:

Brägger, Urs and Wittneben, Julia

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1708-8208

Publisher:

Wiley

Language:

English

Submitter:

Vanda Kummer

Date Deposited:

24 Oct 2019 13:33

Last Modified:

24 Oct 2019 13:33

Publisher DOI:

10.1111/cid.12796

PubMed ID:

31172638

Uncontrolled Keywords:

esthetic implant implant supported crown mucosa provisional provisionalization soft tissue conditioning

BORIS DOI:

10.7892/boris.134122

URI:

https://boris.unibe.ch/id/eprint/134122

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