The Comparison Of Dental Implant Surfaces And Their Effect On Osseointegration In The Aesthetic Zone Clinical And Radiographic Case Report

The comparison of dental implant surfaces and their effect on osseointegration in the aesthetic zone ; Clinical and Radiographic case reportBackground: Recent studies have encouraged a progressive shortening of the healing period for single-tooth implants and immediate loading has been proposed for the aesthetic zone in the maxilla. The biological fixation between the dental implant surfaces and jaw bones should be considered a prerequisite for the long-term success of implant-supported prostheses.Aim/Hypothesis : The aim of this case is to compare the effectiveness of immediate single implants with different surface in the aesthetic zone.Materials and Methods : Patients requiring a single tooth implant-supported restoration in the maxillary esthetic zone received the implant with rough surface and combine surface (rough surface + machined surface) placed in healed sites. The combine implant surfaces is also called hybrid implant. Implants that achieved an insertion torque of at least 35 Ncm were immediately non-occlusally loaded. The screw-retained provisional crown was delivered within 7 hours following the surgery and non functionally loaded. The definitive prosthesis was delivered within 2 months after implant insertion. Two months later the osteointegration progress was evaluated in all installed implants using: Dental X-rays and Osstellu2122 system.Results : After two months period of healing, high level of integration was observed. The stability of these implants was measured using Osstellu2122 system. These implants showed higher values ; ISQ 75 (hybrid) and 76 (rough surface), respectively. It also observed a good soft tissue adaptation clinically. No complications were observed. Radiographic bone changes were similar in both dental implants.Conclusions and Clinical implications :Both implants is a valuable treatment option for immediate implant placement and loading of single crowns in the maxillary esthetic zone.