Patient Satisfaction of Computer-Guided Versus Free- Hand Immediate Implant Placement in Esthetic Zone, A Randomized Controlled Trial

Abstract

Background: The evolution of minimally invasive concept made flapless implant placement combinedwith CAD/CAM surgical templates superior on free hand immediate implant placement in fresh extractionsocket. Although Patient reported outcome measure in relation to any restoration in the esthetic zoneis a very important criterion, very limited studies reporting patient satisfaction of free hand immediateimplant placement protocol compared with computer guided approach. This study aimed to evaluate patientsatisfaction of computer guided (test group) versus free hand (control group) immediate implant placementin esthetic zone.Materials and Methods: A total of 20 patients with remaining roots in the aesthetic zone and indicatedfor extraction were selected. They were allocated randomly into two equivalent groups of 10participants each. Immediate implant placement was performed using computer aided surgical guide for testgroup and free handed without any surgical guide for the control group. For patient satisfaction assessmenta validated questionnaire was used where each question of the questionnaire was scored by the patients on10 cm visual analogue scale (VAS).Results: No statistically significant difference was found in patient satisfaction between the test and controlgroups.Conclusions: within the limitation of our study, combining a computer aided surgical guide to an immediateimplant placement seems to be a predictable therapy especially for young practitioners.