Clinical and esthetic outcomes of immediate implant placement compared to alveolar ridge preservation: a systematic review and meta-analysis

Mareque, Santiago; Castelo‐Baz, Pablo; López-Malla, Joaquín; Blanco, Juan; Nart, José; Vallés, Cristina

doi:10.1007/s00784-021-03986-6

Cited by 9 publications

(5 citation statements)

References 48 publications

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“…Immediate implant placement (IIP) is an appealing treatment concept as it requires minimal surgery, and it offers the possibility for instantaneous tooth replacement with a provisional implant‐supported crown. However, recent systematic reviews have shown a higher risk for early implant failure when compared to delayed implant placement (Cosyn et al, 2019; Mareque et al, 2021). Primary implant stability is more difficult to attain in an alveolar socket and may explain these findings.…”

Section: Introductionmentioning

confidence: 99%

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Immediate implant placement with or without immediate provisionalization: A systematic review and meta‐analysis

Pitman

Seyssens

Christiaens

et al. 2022

J Clinic Periodontology

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Aim: To assess the effect of immediate provisionalization (IP) on soft tissue changes, hard tissue changes, and clinical parameters following single immediate implant placement (IIP). Materials and Methods: Two independent reviewers conducted an electronic literature search in PubMed, Web of Science, Embase, and Cochrane databases as well as a manual search to identify eligible clinical studies up to September 2021. Randomized controlled trials (RCTs) comparing IIP with IP (test) and IIP without IP (control) were included for a qualitative and quantitative analysis. The primary outcome was vertical midfacial soft tissue changes. Secondary outcomes included horizontal midfacial soft tissue changes, implant survival, mesial and distal papillary changes, Pink Esthetic Score (PES) at final follow-up, marginal bone-level changes, probing depth at final follow-up, and bleeding on probing at final follow-up. Results: Of the 8213 records, 7 RCTs reporting on 323 patients who received 323 single immediate implants (IIP + IP: 161 implants in 161 patients; IIP:162 implants in 162 patients) were selected with a mean follow-up ranging from 12 to 60 months. Risk of bias assessment yielded some concerns for five RCTs and high risk for two RCTs. Meta-analysis on the cases with intact alveoli demonstrated 0.87 mm (95% confidence interval [CI] [0.57; 1.17], p < .001) less apical migration of the midfacial soft tissue level for IIP + IP when compared to IIP alone. Implant survival, papillary changes, marginal bone-level changes, probing depth, and bleeding on probing were not significantly affected by IP. Insufficient data were available for meta-analyses on horizontal midfacial soft tissue changes and PES.Conclusions: IP may contribute to midfacial soft tissue stability at immediate implants. However, high-quality RCTs are needed since the strength of this conclusion is currently rated as low according to GRADE guidelines.

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Section: Introductionmentioning

confidence: 99%

“…However, recent systematic reviews have shown a higher risk for early implant failure when compared to delayed implant placement (Cosyn et al, 2019;Mareque et al, 2021). Primary implant stability is more difficult to attain in an alveolar socket and may explain these findings.…”

Section: Introductionmentioning

confidence: 99%

Immediate implant placement with or without immediate provisionalization: A systematic review and meta‐analysis

Pitman

Seyssens

Christiaens

et al. 2022

J Clinic Periodontology

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“…O estudo mostra que em relação a parede vestibular intacta, a taxa de sucesso do implante foi semelhante nas técnicas de preservação da crista alveolar (ARP) e colocação imediata de implantes (IIP), porém em relação a parede vestibular defeituosa os resultados foram significativamente melhores na técnica de preservação da crista alveolar (ARP) 98,6% em comparação com a técnica de colocação imediata 86,6% 13 . (0,14; 0,78); p = 0,01] 15 . A preservação de tecidos duros e moles na região de molar também apresenta um resultado significativamente melhor com a técnica de preservação da crista alveolar (ARP) em comparação com a técnica de colocação imediata (IIP) (P < 05, 06).…”

Section: Indicações E Contraindicaçõesunclassified

Inserção Imediata De Implantes Versus Técnica Convencional: Uma Revisão De Literatura

Alves

Dallepiane

Trentin

2023

Braz. J. Implantol. Health Sci.

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Introdução: Com a evolução da odontologia a técnica convencional de colocação de implantes tem sido analisada, resultando no protocolo de instalação de implantes imediatos, tendo em vista a necessidade de resultados funcionais e estéticos melhores e mais ágeis. Objetivo: Realizar uma revisão de literatura com o intuito de avaliar e investigar as indicações, contraindicações, vantagens e desvantagens da colocação imediata de implantes em comparação com a técnica convencional. Material e Métodos: Foi realizada uma busca na literatura atual, pertinente ao assunto pesquisado, nas seguintes bases de dados: Pubmed, Lilacs Web of Science, EMBASE, Scielo e Google Acadêmico no idioma inglês usando os termos de pesquisa: Immediate Dental Implants, OR/AND Convencional Implants, OR/AND Tooth extraction, AND Immediate provisioning. A pesquisa de artigos científicos teve início A pesquisa de artigos científicos teve início e seguimento nos anos de 2022 e 2023 ano o qual foi finalizada. Conclusão: A taxa de sobrevivência dos implantes quando utilizada a técnica convencional se mostrou significativamente melhor do que quando utilizada a técnica de inserção imediata, havendo variação de acordo com a região operada. Entretanto, quando bem indicada, a técnica de colocação imediata se apresenta efetiva principalmente nas regiões estéticas. Mais estudos são necessários para determinar as indicações, contraindicações, alteração de tecidos moles e duros e resultados estéticos.

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“…Replacing a single failing tooth in the maxillary aesthetic zone with immediate single implant placement and provisionalization (IIPP) has benefits in terms of reduced treatment time, avoidance of additional surgical interventions and a high level of patient satisfaction (Huynh‐Ba et al, 2018; Slagter et al, 2014). Some systematic reviews have shown comparable implant survival rates for implant placement after alveolar ridge preservation, while others have reported slightly lower IIPP survival rates (Cosyn et al, 2019; Mareque et al, 2021; Pommer et al, 2021; Yu et al, 2022). However, all reviews mention that longer follow‐up periods are needed for arriving at a definite conclusion (Donos et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Single immediate implant placement in the maxillary aesthetic zone with and without connective tissue grafting: Results of a 5‐year randomized controlled trial

Zuiderveld,

Meijer,

Gareb

et al. 2024

J Clinic Periodontology

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AimTo assess the 5‐year effects of grafting connective tissue while undertaking single immediate implant placement and provisionalization at the mid‐buccal mucosa level (MBML). Secondary outcomes were buccal bone wall thickness (BBT), marginal bone level (MBL) and patient satisfaction.Materials and MethodsSixty patients with a single failing tooth in the maxillary anterior region were provided with an immediately placed and provisionalized implant. At implant placement, the patients randomly received either a connective tissue graft from the maxillary tuberosity (n = 30, test group) or no graft (n = 30, control group). The alveolar socket classification was mainly Type 2A. Data were collected before removing the failing tooth (T0), and at 1 (T1), 12 (T12) and 60 (T60) months after final crown placement. The primary outcome was the change in MBML compared with the pre‐operative situation. Additionally, the change in BBT, MBL, aesthetics (using the Pink Aesthetic Score–White Aesthetic Score), soft‐tissue peri‐implant parameters and patient satisfaction were assessed.ResultsAt the 5‐year follow‐up, 27 patients could be analysed from each group. In each group, one implant was lost during the osseointegration period, within 3 months of placement, resulting in an implant survival rate of 96.7% in both groups. MBML change at T60 was −0.6 (−1.1 to –0.1) mm in the control group and 0.1 (−0.4 to 0.5) mm in the test group (p = .008). BBT and MBL, aesthetics, soft‐tissue peri‐implant parameters and patient satisfaction showed stable results and satisfied patients, without clinically relevant differences between the groups.ConclusionsThis 5‐year follow‐up study shows that grafting connective tissue when replacing a single failing tooth with immediately placed and provisionalized implant results in favourable peri‐implant tissues and fewer MBML changes.

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Clinical and esthetic outcomes of immediate implant placement compared to alveolar ridge preservation: a systematic review and meta-analysis

Cited by 9 publications

References 48 publications

Immediate implant placement with or without immediate provisionalization: A systematic review and meta‐analysis

Immediate implant placement with or without immediate provisionalization: A systematic review and meta‐analysis

Inserção Imediata De Implantes Versus Técnica Convencional: Uma Revisão De Literatura

Single immediate implant placement in the maxillary aesthetic zone with and without connective tissue grafting: Results of a 5‐year randomized controlled trial

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