Rehabilitation of one-piece screw-retained implant crowns placed at second-stage surgery-a retrospective patient series.

OBJECTIVES: To evaluate the esthetic and functional rehabilitation of single implants delivering the final crown during second-stage surgery. MATERIALS AND METHODS: In 26 single-tooth implants, the impressions were taken immediately after implant placement to fabricate the final crowns. During the second-stage surgery, the screw-retained hybrid crowns were delivered. Six months to 3 years after placement of the crown, a modified pink esthetic score (PES) was measured. Additionally, the number of treatment sessions was recorded. The mesial and distal contact points and the static and dynamic occlusion were examined. Patients' satisfaction was measured using a questionnaire. RESULTS: In this retrospective study, 21 posterior and 5 anterior implants were included. The average pink esthetic score was 11.3 out of 14. The most frequent limitations were incomplete papillae and deficits of the alveolar ridge. The average number of appointments was three, consisting of impression taking and surgery consent, implant placement, and crown delivery. Average patients' satisfaction was 46.7 out of 50 and thus, extremely high. CONCLUSIONS: The presented approach allows the second-stage surgery and delivery of the final restoration for single-tooth implants in the same session. As the peri-implant mucosa is adapted to the final restoration in the first place, a more natural emergence profile is achieved. However, there is an increasing risk for reduced or missing papillae. Patients' satisfaction is generally very high. CLINICAL RELEVANCE: A method for direct definitive prosthetic restoration during the exposure of single-tooth implants is examined, advantages and disadvantages will be described, and patient acceptance is validated.