Análisis de los tejidos peri-implantarios en implantes anteriores: relación entre la presencia o ausencia de tabla ósea y el Pink Esthetic ScoreSegundo clasificado del Premio al Mejor Artículo Universidades de la CAM 2019

Abstract

Introduction: Dehiscence is the loss of the bone wall that leaves part of the root exposed to the oral cavity. It can be a predisposing factor of gingival recessions and therefore it is considered an aesthetic alteration. Objectives: To analyze the relationship between the presence or absence of the buccal bone table in anterior implants and the esthetic result valued using the PES index. Secondary objectives were to analyse the patient’s opinion by comparing it with the PES values found by the evaluator. Material and method: An analytical, longitudinal, retrospective cohort study was performed in a group of 31 patients who had antero-superiors implants with a minimum of 3 years of crown-loading. CBCT was performed to evaluate the presence /absence of a bone table with an intraoral exploration to evaluate the PES. Results: The PES index was signifi cantly higher (10.4 ± 2.3) in presence of bone table. The patient’s assessment had an overall mean score of 8.2 ± 1.6. No correlation was found between the patient’s opinion and the evaluator. Conclusion: The absence of buccal bone table lead to aesthetic alterations of the peri-implant tissues.