Factors Affecting Immediate Anterior Implants Esthetics.

Factors Affecting Immediate Anterior Implants Esthetics . Clinical Retrospective Study

This retrospective cohort study evaluates clinical, surgical, and prosthetic factors associated with early and mid-term outcomes of immediate implant placement in the anterior maxilla. The primary objective is to identify predictors of implant survival and complications (e.g., infection, soft-tissue dehiscence, esthetic failure) within 12 months following placement. Secondary objectives include assessment of peri-implant marginal bone loss, prosthetic complications, and esthetic outcomes (pink esthetic score).

Study design:

Retrospective observational cohort study using existing patient records and radiographs from IDCE between September 2022 -March 2026. Data extraction will be performed blinded to outcome assessment.

Participants:

Subjects who received immediate implant placement in the anterior region (canine to canine) during the study period with at least 12 months follow-up. Expected sample size: approximately 500 patients/implants

Inclusion Criteria:

• flapless immediately placed implants in esthetic zone with 3 years follow up CBCT,
• presence of immediate postoperative CBCT,
• initial intact thick gingival biotype with at least 2 mm band of keratinized tissue
• thin intact labial bone plate (< 1mm) extending 7 mm apically assessed by CBCT with good apical bone
• patients who had provided an informed consent.

Exclusion Criteria:

• patients with medical conditions that would compromise the surgical procedures, uncontrolled diabetes mellitus, taking IV bis-phosphonates for treatment of osteoporosis
• patients with active infection related at the site of implant and patients with untreated active periodontal diseases.