A total of 19 (7 female and 12 male) patients, who were rehabilitated with a single implant in the anterior maxilla, were included in this study. Patients’ ages ranged between 19 and 42 with a mean of 31.8 years. None of the implants were associated with increased probing depth, bleeding, suppuration, foreign body sensation, pain, morbidity, or infection. Clinical features related to anterior single implants are shown on Table 1.

The mean PES in this study was 10.7 (range 5–13, SD ± 2.24), which translated into an acceptable esthetic outcome. The mean WES was calculated as 8.6 (range 8–10, SD ± 0.60), which translated into an almost perfect outcome. All 19 implants received a WES of 6 or above, which was set to be the lowest threshold of clinical acceptance. Table 2 shows sub-classifications of PES and WES results and their corresponding percentages within this patient group.

Table 3 displays the results of PES and WES analyses in detail.

The overall mean value of VAS was found to be 8.54 ± 0.36 (range 3.8–9.8). Mean and median values, as well as the range of scores for each question are given below:

Question1. “How do you feel about the shape of your new implant tooth?” Mean patient rating was calculated as 8.5 (range 4–10, SD ± 1.8). Median score was 9. Thirteen patients responded with a score of ≥ 8 and 18 patients responded with a score of ≥ 6.

Question2. “How do you feel about the color of your new implant tooth?” Mean patient rating was calculated as 8.5 (range 6–10, SD ± 1.3). Median score was 9. Thirteen patients responded with a score of ≥ 8 and 19 patients responded with a score of ≥ 6.

Question3. “How do you feel about the shape of the gum that is around your new implant tooth?” Mean patient rating was calculated as 8.32 (range 2–10, SD ± 1.9). Median score was 9. Sixteen patients responded with a score of ≥ 8 and 17 patients responded with a score of ≥ 6.