The esthetic effect of connective tissue graft addition around immediate dental implants in the esthetic zone: A randomized clinical trial


https://doi.org/10.23805/JO.2022.14.8
Vol. 14 No. 2 (2022)
Submitted: 26 August 2021
Accepted: 30 September 2021
Published: 24 November 2021
Immediate dental implant, Connective tissue graft, Pink esthetic score, Tissue, Keratinized tissue, Crestal Bone Level
Abstract Views: 906
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Authors

  • N.F. Abd el Aziz
    nada.hasan@dentistry.cu.edu.eg
    MSc; Faculty of Dentistry, Periodontology Department, Cairo University, Giza, Cairo, Egypt. https://orcid.org/0000-0002-4398-7138
  • A.R. Abd El-Rahman PhD; Assistant Professor; Periodontology Department, Faculty of Dentistry, Cairo University, Giza, Egypt - Faculty of Dentistry, October University for Modern Sciences and Arts (MSA), Giza, Cairo, Egypt.
  • A.M. El-Barbari PhD; Assistant Professor; Periodontology Department, Faculty of Dentistry, Cairo University, Giza, Egypt.
  • A.E. Elarab PhD, Professor; Faculty of Dentistry, Periodontology Department, Cairo University, Giza, Cairo, Egypt.

Aim It is not easy to maintain natural aesthetic appearance of implant-supported restorations in the esthetic zone. Immediate dental implant is a predictable solution in terms of decreased patient morbidity, in addition to the fact that it acts as socket preservation. The aim of the present study was to evaluate the esthetic outcome and stability of gingival tissue and crestal bone level over immediate implants using connective tissue graft (CTG).

Materials and methods 16 patients with a single non-restorable tooth in the aesthetic zone were randomly assigned to either receiving immediate implant alone or immediate implant with CTG with a six-month follow-up. Tissue biotype, width of keratinized tissue (WKT), crestal bone level (CBL) were measured at baseline and after 6 months, Pink Esthetic Score (PES) was measured at 8 months in addition to patient satisfaction.

Results Immediate implant with CTG had a statistically significant higher effect on PES (P=0.004), WKT (P=0.001) and tissue biotype (p=0.002) outcomes; while a statistically non-significant difference was found in CBL (P=0.619). No difference was found between groups with respect to patient satisfaction.

Conclusion Immediate implant in combination with CTG showed better aesthetics with natural appearance resembling natural teeth. PES, tissue biotype and WKT were significantly higher with CTG compared with immediate implant alone. CBL was more preserved when using CTG with immediate implants.


Abd el Aziz, N., Abd El-Rahman, A., El-Barbari, A., & Elarab, A. (2021). The esthetic effect of connective tissue graft addition around immediate dental implants in the esthetic zone: A randomized clinical trial. Journal of Osseointegration, 14(2), 97–106. https://doi.org/10.23805/JO.2022.14.8

Copyright (c) 2021 Ariesdue

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