Background: Implant esthetics may benefit from the used of guided surgery to allow for ideal tri-dimensional positioning.

Aim: To investigate using the Pink Esthetic Score, the esthetic outcome of implants placed in the anterior maxilla in fresh extraction socket with guided surgery.

Materials and Methods: Single-tooth implants for immediate replacement of upper incisors were inserted in 22 patients using stereolithographic templates. A screw-retained provisional crown was fabricated chairside immediately after implant placement. Objective evaluation of implant esthetics was performed after a mean follow-up of 1.2 years using the Pink Esthetic Score (PES) and compared to the baseline PES.

Results: The mean PES of evaluations at the first assessment (n=22) was 11.41 (+/-1.81 SD), and 12.14 (+/-1.52 SD) at the second one. The difference between these two means was not significant statistically (P=0.6882). 

Conclusions: Immediate implant placement and restoration appear to be a valid treatment option when using guided surgery to obtain satisfactory esthetic results.

Immediate implant placement in the anterior maxilla using guided surgery- evolution of the pink esthetic score over a 1-year period