{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:47:08Z","timestamp":1777866428663,"version":"3.51.4"},"reference-count":44,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T00:00:00Z","timestamp":1766534400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T00:00:00Z","timestamp":1766534400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Esthet Restor Dent"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this review was to assess the long\u2010term clinical and aesthetic outcomes of implants placed with immediate and early protocols in the anterior maxilla with a follow\u2010up greater than 5\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>An electronic search in Pubmed, Embase, CINAHL via EBSCO, and the Cochrane database was performed to identify studies on single\u2010tooth implants placed with immediate (Type 1) and early (Type 2) placement protocols in the anterior maxilla that reported outcomes on aesthetics, hard and soft tissue changes with a mean follow up \u2265\u20095\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen studies on immediate and early protocol single implants placed in the anterior maxilla with a \u2265\u20095\u2009year follow up were included. A lack of studies comparing the two placement protocols was observed. Soft tissue changes were found to be acceptable for immediately placed implants, with seven studies reporting mean mid\u2010buccal gingival recession of 0.15\u2009\u00b1\u20090.27\u2009mm and mean papillary height loss of 0.07\u2009mm mesial and 0.20\u2009mm distal after a follow up of \u2265\u20095\u2009years. Advanced buccal recession (&gt;\u20091\u2009mm) occurred in 12.17% of cases. Ten of the 15 included studies reported a mean bone loss of 0.68\u2009\u00b1\u20090.42\u2009mm. Favorable aesthetic outcomes were reported by most studies with a 2.83% incidence of aesthetic failures (aesthetic score &lt;\u200950% of maximum achievable). The few studies that reported on patient\u2010centered outcomes showed a high level of patient satisfaction post treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Immediate and early implant placement protocols showed acceptable soft tissue and aesthetic outcomes, with suboptimal aesthetic outcomes reported in 2.83% of cases. More long\u2010term follow\u2010up studies are necessary to identify factors that influence aesthetic outcomes in implants placed with various placement protocols in the anterior maxilla.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jerd.70085","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T11:58:35Z","timestamp":1766577515000},"page":"582-593","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long Term Clinical and Aesthetic Outcomes of Implants Placed With Immediate and Early Protocol in the Anterior Maxilla: A Systematic Review"],"prefix":"10.1111","volume":"38","author":[{"given":"Thomas","family":"Briggs","sequence":"first","affiliation":[{"name":"School of Dentistry The University of Queensland  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7181-0006","authenticated-orcid":false,"given":"Himanshu","family":"Arora","sequence":"additional","affiliation":[{"name":"School of Dentistry The University of Queensland  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5339-0936","authenticated-orcid":false,"given":"Saso","family":"Ivanovski","sequence":"additional","affiliation":[{"name":"School of Dentistry The University of Queensland  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.2008.01330.x"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2011.02372.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0300\u20109785(81)80077\u20104"},{"key":"e_1_2_11_5_1","first-page":"1","article-title":"Osseointegrated Implants in the Treatment of the Edentulous Jaw. 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