Clinical Performance of Immediately Placed and Restored Implants With a Novel Design in the Esthetic Zone. A 3‐Year Follow‐Up of Prospective Case Series

ABSTRACT Aim To assess the medium‐term implant success and survival rates of immediately placed and restored implants with a novel design in the esthetic zone. Materials and Methods A total of n = 20 patients had received immediately placed tapered, two‐part implants with a progressive thread design (PL) ( n = 20) and an immediate “non full‐functional” loading (patient‐specific abutments) for single tooth replacements in the anterior maxilla. Implant survival and success (e.g., bleeding on probing—BOP, probing pocket depth—PD, mucosal recession—MR) were assessed at 24 and 36 months following final restoration (i.e., 12 weeks after implant placement). Patient‐reported outcomes were evaluated at 36 months. Results A total of four patients were lost to follow‐up, resulting in 16 patients included in the analysis. At 24 and 36 months, implant survival amounted to 100%, respectively. Non‐significant changes to baseline were noted at 24 and 36 months for mean BOP (9.37 (29.7)%, 9.38 (26.5)%), PD (−0.45 (0.88)mm, −0.34 (0.74)mm), and MR (0.0 (0.0)mm, 0.0 (0.02)mm) values. Pink esthetic score— PES values amounted to 13.0 (1.22) and 12.62 (1.42) at 24 and 36 months. Technical and mechanical complications were not observed. Patients expressed an overall high satisfaction at 36 months. Conclusions The presented immediacy protocol was associated with high survival and success rates as well as a high patient satisfaction in the medium‐term.