Clinical and Radiographic Evaluation of Bone Profile Around Dental Implants Placed in the Esthetic Zone
Lamees Alssum,1 Reem Al-Kattan,1 Nouf Al-Shibani,1 Hafsah Al Ali,2 Farah Aldossari,2 Eman Allam3 1Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia; 2College of Dentistry, King Saud University, Riyadh, Saudi Arabia; 3Research and Gra...
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Dove Medical Press
2025-02-01
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| author | Alssum L Al-Kattan R Al-Shibani N Al Ali H Aldossari F Allam E |
| author_facet | Alssum L Al-Kattan R Al-Shibani N Al Ali H Aldossari F Allam E |
| author_sort | Alssum L |
| collection | DOAJ |
| description | Lamees Alssum,1 Reem Al-Kattan,1 Nouf Al-Shibani,1 Hafsah Al Ali,2 Farah Aldossari,2 Eman Allam3 1Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia; 2College of Dentistry, King Saud University, Riyadh, Saudi Arabia; 3Research and Graduate Studies Department, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab EmiratesCorrespondence: Lamees Alssum, Department of Periodontics and Community Dentistry College of Dentistry King Saud University, Riyadh, Saudi Arabia, Email [email protected]: To evaluate the bone profile around dental implants placed in the esthetic zone through periodontal assessment and radiographic analysis using cone-beam computed tomography (CBCT).Methods: We conducted a clinical observational study of 35 subjects who received dental implants placed in the esthetic zone to replace lost anterior teeth. Clinical evaluation included a comprehensive periodontal examination. The esthetic outcomes of the soft tissue around the implants were assessed using the pink esthetic score (PES). Patient satisfaction was assessed by using a specially designed questionnaire. The Oral Health Impact Profile (OHIP)-14 was used to assess the quality of life. The bone profile around the implant was assessed using CBCT. All the values were compared and statistically analyzed.Results: A soft tissue graft (STG) was associated with the presence of > 2 mm of bone thickness 1 mm from the implant shoulder (p < 0.01). The STG was also significantly associated with bone thickness at 3 and 5 mm (p = 0.04). PES was not significantly associated with the bone thickness, OHIP score, or satisfaction score. Patients with fenestrations had significantly higher scores for functional limitations and pain than those without fenestrations (p = 0.01 and 0.04 respectively).Conclusion: The bone profile around the anterior implant is not ideal. Although the buccal bone was thin around the implant placed in the esthetic zone, it did not affect the esthetic outcomes or overall satisfaction of the patient. However, fenestration defects may affect patients’ quality of life.Keywords: dental implants, esthetic zone, periodontal assessment, cone beam computed tomography |
| format | Article |
| id | doaj-art-cc99ec839b764b80aa096fa77767835a |
| institution | Kabale University |
| issn | 1178-2390 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Multidisciplinary Healthcare |
| spelling | doaj-art-cc99ec839b764b80aa096fa77767835a2025-02-06T16:40:24ZengDove Medical PressJournal of Multidisciplinary Healthcare1178-23902025-02-01Volume 1859160199905Clinical and Radiographic Evaluation of Bone Profile Around Dental Implants Placed in the Esthetic ZoneAlssum LAl-Kattan RAl-Shibani NAl Ali HAldossari FAllam ELamees Alssum,1 Reem Al-Kattan,1 Nouf Al-Shibani,1 Hafsah Al Ali,2 Farah Aldossari,2 Eman Allam3 1Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia; 2College of Dentistry, King Saud University, Riyadh, Saudi Arabia; 3Research and Graduate Studies Department, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab EmiratesCorrespondence: Lamees Alssum, Department of Periodontics and Community Dentistry College of Dentistry King Saud University, Riyadh, Saudi Arabia, Email [email protected]: To evaluate the bone profile around dental implants placed in the esthetic zone through periodontal assessment and radiographic analysis using cone-beam computed tomography (CBCT).Methods: We conducted a clinical observational study of 35 subjects who received dental implants placed in the esthetic zone to replace lost anterior teeth. Clinical evaluation included a comprehensive periodontal examination. The esthetic outcomes of the soft tissue around the implants were assessed using the pink esthetic score (PES). Patient satisfaction was assessed by using a specially designed questionnaire. The Oral Health Impact Profile (OHIP)-14 was used to assess the quality of life. The bone profile around the implant was assessed using CBCT. All the values were compared and statistically analyzed.Results: A soft tissue graft (STG) was associated with the presence of > 2 mm of bone thickness 1 mm from the implant shoulder (p < 0.01). The STG was also significantly associated with bone thickness at 3 and 5 mm (p = 0.04). PES was not significantly associated with the bone thickness, OHIP score, or satisfaction score. Patients with fenestrations had significantly higher scores for functional limitations and pain than those without fenestrations (p = 0.01 and 0.04 respectively).Conclusion: The bone profile around the anterior implant is not ideal. Although the buccal bone was thin around the implant placed in the esthetic zone, it did not affect the esthetic outcomes or overall satisfaction of the patient. However, fenestration defects may affect patients’ quality of life.Keywords: dental implants, esthetic zone, periodontal assessment, cone beam computed tomographyhttps://www.dovepress.com/clinical-and-radiographic-evaluation-of-bone-profile-around-dental-imp-peer-reviewed-fulltext-article-JMDHdental implantsesthetic zoneperiodontal assessmentcone beam computed tomography |
| spellingShingle | Alssum L Al-Kattan R Al-Shibani N Al Ali H Aldossari F Allam E Clinical and Radiographic Evaluation of Bone Profile Around Dental Implants Placed in the Esthetic Zone Journal of Multidisciplinary Healthcare dental implants esthetic zone periodontal assessment cone beam computed tomography |
| title | Clinical and Radiographic Evaluation of Bone Profile Around Dental Implants Placed in the Esthetic Zone |
| title_full | Clinical and Radiographic Evaluation of Bone Profile Around Dental Implants Placed in the Esthetic Zone |
| title_fullStr | Clinical and Radiographic Evaluation of Bone Profile Around Dental Implants Placed in the Esthetic Zone |
| title_full_unstemmed | Clinical and Radiographic Evaluation of Bone Profile Around Dental Implants Placed in the Esthetic Zone |
| title_short | Clinical and Radiographic Evaluation of Bone Profile Around Dental Implants Placed in the Esthetic Zone |
| title_sort | clinical and radiographic evaluation of bone profile around dental implants placed in the esthetic zone |
| topic | dental implants esthetic zone periodontal assessment cone beam computed tomography |
| url | https://www.dovepress.com/clinical-and-radiographic-evaluation-of-bone-profile-around-dental-imp-peer-reviewed-fulltext-article-JMDH |
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