Abstract: Objective: To evaluate the patient satisfaction and esthetic outcome of maxillary anterior single implants after gingival remodeling by provisionalization followed by placement of a definitive crown. Methods: A total of 27 implants 27 patients were included. The implants were placed immediately into fresh extraction. A temporary abutment and a provisional crown were mounted in the same visit. The definitive crown was placed after a mean period 6 months. After a mean follow-up period 24 months. The professional esthetic treatment outcome was also evaluated using pink esthetic score (PES), white esthetic score (WES), and total score of PES/WES. A visual analog scale(VAS)was used to assess the level of patient satisfaction regarding the esthetic outcome. The correlations between the PES value and WES value,VAS and PES value,VAS and WES value were calculated. Results: The mean±SD value of PES and WES were 8.22±1.48 and 8.00 ±1.33,VAS value ranged from 7 to 10,whose mean±SD was 8.19 +1.08. The statistical analysis revealed significant positive correlations between the VAS and PES value,VAS and WES value(r=0.448,P=0.019;r=0.423,P=0.028) respectively. The statistical analysis revealed significant positive correlations between the PES value and WES value(r=0.612,P<0.001). Conclusion: Immediate placement and provisionalization of single maxillary anterior implants involved a provisional crown followed by later placement of a definite crown demonstrated high professional and subjective satisfaction. A strong correlation was observed between the PES and WES, VAS and PES value,VAS and WES scoring systems.

Key words: Single-tooth implant , Provisional crown, Esthetic outcomes, Patient satisfaction