Immediate dental implant placement in the aesthetic zone

After pulling a tooth when aesthetics play a role, there is a tendency to place a dental implant immediately after pulling the tooth, preferably in combination with a temporary crown. This tendency is probably related to evolving society factors, with more demanding patients and a wish for an aesthetic and direct result. In two randomized clinical trials (80 patients in total) is the treatment outcome investigated of the immediate placed dental implants into major and minor bone defects after the tooth has been pulled. The number of operations was hereby reduced to 1 or 2 instead of 2 or 3, depending on the bony defect.The treatment outcome was expressed in different outcome measures. Outcome measures were the survival rate of implants, changes in hard and soft tissues around the implant, an objective assessment of the aesthetic result and the assessment by the patient himself. The most important conclusion is that immediate dental implant placement after pulling a tooth when aesthetics play a role, results in excellent short-term results (1-year results) with regard to the survival rate of the implants, the condition of soft and hard tissues around the implants, aesthetic measurements and patient-satisfaction. If this technique also leads to good long-term results has yet to be investigated