Immediate Restoration of Immediate Implants in the Esthetic Zone of the Maxilla Via the Copy-Abutment Technique: 5-Year Follow-Up of Pink Esthetic Scores

Background Implant esthetics may benefit from individualized zirconia abutments copying the emergence profile of the natural tooth and delivered within days after immediate implant insertion. Purpose To investigate the esthetic outcome of the Copy-Abutment technique using the Pink Esthetic Score (PES). Materials and Methods A total of 77 patients with single-tooth implants in the anterior maxilla restored at the day of immediate implant placement using Copy-Abutments and provisional crowns were followed-up after 1 week, 1 month, 4 months, 6 months, 1, 2, 3, 4, and 5 years to assess implant esthetics. Results PES ranged between 7 and 14 (median: 13) and improved significantly between the 6 month and 1 year follow-up (p