RESUMO
AIM: The objective of this study was to compare different approaches temporary restoration in an immediate implant placement. To determine the respective influence of each parameter, two treatment groups were formed; a strict and standardized study protocol was applied to minimize the influence of bias and confounding factors. The Pink Esthetic Score (PES) - the esthetic out-come of soft tissue appearance was evaluated. MATERIAL AND METHODS: Sixteen patients with a single failing tooth in the maxilla and a natural contralateral site were randomly distributed into two groups. Treatment variations affected the provisional restorative in detail, group 1 with immediate implant placement and immediate temporary restoration with the simulation of the first three mm of the root and the seal of the socket, group 2 with immediate implant placement and immediate temporary restoration without the seal of the socket. All patients received the final prosthetic restoration 10-12 weeks after implant placement. Standardized photographs were taken eight months after tooth extraction. Five competent observers analyzed the esthetic outcome according to the PES. RESULTS: The overall scores of the four treatment groups revealed PES values of 8.47 (SD 2.08, group 1), 6.62 (SD 3.24, group 2). The differences between groups 1 and 2 and were statistically significant (P=0.015 and P=0.047). The single parameter analysis displayed a certain range of fluctuation and heterogeneity. CONCLUSIONS: Immediate implant placement and restoration appear to be a suitable alternative to early implant placement if an experienced surgeon is entrusted with the implantation procedure.
RESUMO
The growing emphasis on aesthetics puts the dentist before new requests for intervention aimed at improving the smile not only in dental component but also in the gingival. Infact, even among patients is now widespread awareness that the beauty of the smile comes from balance existing, in the relations and proportions, between the dental and gum component.The development of plastic periodontal surgery techniques increasingly sophisticated allows the dentists to correct those deteriorations of the gingival tissues, such as multiple recessions, which are responsible for troublesome increases of the dental sensitivity and aesthetic worsening of the smile.The description of a case report of multiple recessions surgically treated with Zucchelli/De Santis' technique demonstrates that, having carefully selected patient, it's possible to resolve with a fine but not invasive surgery these smile's deteriorations.