Immediate implant placement in the esthetic zone is often associated with buccal bone deficiency, which may compromise esthetic outcomes and long-term implant stability. Autogenous bone graft harvested from the maxillary tuberosity provides corticocancellous bone with favorable biological properties and may help reconstruct the buccal bone plate during immediate implant placement.
This prospective case series aims to evaluate the clinical and esthetic outcomes of immediate implant placement combined with autogenous maxillary tuberosity graft in the esthetic zone. The primary outcomes include buccal bone thickness measured on cone-beam computed tomography (CBCT), facial soft tissue thickness measured clinically, and the pink esthetic score (PES) after implant restoration.
Adults aged 18 years or older
Patients requiring single implant placement in the maxillary esthetic zone
Indication for immediate implant placement following tooth extraction
Presence of a buccal bone defect requiring augmentation with an autogenous maxillary tuberosity bone graft
Uncontrolled sHistory of radiotherapy in the head and neck region ystemic diseases
History of radiotherapy in the head and neck region
Active periodontal disease or untreated oral infection
Heavy smoking (more than 10 cigarettes per day)
Single group
Immediate Implant Placement With Maxillary Tuberosity Autogenous Graft
Procedure/SurgeryImmediate implant placement in the maxillary esthetic zone combined with autogenous bone graft harvested from the maxillary tuberosity. The graft is used to reconstruct the buccal bone plate and improve peri-implant tissue stability and esthetic outcomes.
Buccal Bone Thickness
Buccal bone thickness around the implant measured on cone-beam computed tomography (CBCT) in the mid-facial aspect of the implant site.
Facial Soft Tissue Thickness
Facial peri-implant soft tissue thickness measured clinically at the mid-facial aspect of the implant site.
Pink Esthetic Score (PES)
Esthetic evaluation of peri-implant soft tissue using the Pink Esthetic Score (PES) assessed after prosthetic restoration.
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