Immediate implant placement in molar extraction sockets: a systematic review and meta-analysis

Background: Immediate implants are frequently employed in the anterior maxillary area. However, the installation of dental implants simultaneously with tooth extraction can also provide with benefits in the posterior areas with a reduction in time prior the recovery of the masticatory function. Resu...

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Autores: Ragucci, Gian Maria, Elnayef, Basel, Criado-Cámara, Elena, Suárez López del Amo, Fernando, Hernández Alfaro, Federico
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:20.500.12328/2592
Acceso en línea:http://hdl.handle.net/20.500.12328/2592
https://dx.doi.org/10.1186/s40729-020-00235-5
Access Level:acceso abierto
Palabra clave:Implants dentals
Dents -- Extracció
Teixit ossi
Pèrdua òssia
Implantes dentales
Dientes -- Extracción
Tejido óseo
Pérdida ósea
Dental implants
Teeth -- Extraction
Bone tissue
Bone loss
616.3
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spelling Immediate implant placement in molar extraction sockets: a systematic review and meta-analysisRagucci, Gian MariaElnayef, BaselCriado-Cámara, ElenaSuárez López del Amo, FernandoHernández Alfaro, FedericoImplants dentalsDents -- ExtraccióTeixit ossiPèrdua òssiaImplantes dentalesDientes -- ExtracciónTejido óseoPérdida óseaDental implantsTeeth -- ExtractionBone tissueBone loss616.3Background: Immediate implants are frequently employed in the anterior maxillary area. However, the installation of dental implants simultaneously with tooth extraction can also provide with benefits in the posterior areas with a reduction in time prior the recovery of the masticatory function. Results previously reported in the literature show high-survival and success rates for implants placed in extraction sockets in molar areas; however, this topic has received limited systematic analysis. Material and methods: Electronic and manual literature searches were performed by two independent reviewers in several data-bases, including MEDLINE, EMBASE, and Cochrane Oral Health Group Trials Register, for articles up to January 2019 reporting outcomes of immediate implants placed in molar areas. Primary outcomes included survival and success rates, as well as marginal bone loss. Secondary outcomes included the influence of implant position, type of implant connection, grafting protocol, flap or flapless approach, implant diameter, surgical phase, presence of buccal plate, and loading protocol. Results: Twenty studies provided information on the survival rate, with a total sample of 1.106 implants. The weighted mean survival rate of immediate implants after 1 year of follow-up was 96.6%, and the success rate was 93.3%. On the other hand, marginal bone loss was 1.29 ± 0.24 mm. Secondary outcomes demonstrated that grafting the gap and the loading protocol have an effect on survival and success rates. Similarly, the presence or absence of the buccal bone affect crestal bone levels. Meta-analysis of 4 investigations showed a weighted mean difference of 0.31 mm ± 0.8 IC 95% (0.15–0.46) more marginal bone loss at immediate implant placement versus implants in healed sites (p < 0.001) I 2 = 15.2%. Conclusion: In selected scenarios, immediate implant placement in molar extraction socket might be considered a predictable technique as demonstrated by a high survival and success rates, with minimal marginal bone loss.info:eu-repo/semantics/publishedVersionSpringer Nature2020info:eu-repo/semantics/article12http://hdl.handle.net/20.500.12328/2592https://dx.doi.org/10.1186/s40729-020-00235-5reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésInternational Journal of Implant Dentistry6;This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:20.500.12328/25922026-05-29T05:05:01Z
dc.title.none.fl_str_mv Immediate implant placement in molar extraction sockets: a systematic review and meta-analysis
title Immediate implant placement in molar extraction sockets: a systematic review and meta-analysis
spellingShingle Immediate implant placement in molar extraction sockets: a systematic review and meta-analysis
Ragucci, Gian Maria
Implants dentals
Dents -- Extracció
Teixit ossi
Pèrdua òssia
Implantes dentales
Dientes -- Extracción
Tejido óseo
Pérdida ósea
Dental implants
Teeth -- Extraction
Bone tissue
Bone loss
616.3
title_short Immediate implant placement in molar extraction sockets: a systematic review and meta-analysis
title_full Immediate implant placement in molar extraction sockets: a systematic review and meta-analysis
title_fullStr Immediate implant placement in molar extraction sockets: a systematic review and meta-analysis
title_full_unstemmed Immediate implant placement in molar extraction sockets: a systematic review and meta-analysis
title_sort Immediate implant placement in molar extraction sockets: a systematic review and meta-analysis
dc.creator.none.fl_str_mv Ragucci, Gian Maria
Elnayef, Basel
Criado-Cámara, Elena
Suárez López del Amo, Fernando
Hernández Alfaro, Federico
author Ragucci, Gian Maria
author_facet Ragucci, Gian Maria
Elnayef, Basel
Criado-Cámara, Elena
Suárez López del Amo, Fernando
Hernández Alfaro, Federico
author_role author
author2 Elnayef, Basel
Criado-Cámara, Elena
Suárez López del Amo, Fernando
Hernández Alfaro, Federico
author2_role author
author
author
author
dc.subject.none.fl_str_mv Implants dentals
Dents -- Extracció
Teixit ossi
Pèrdua òssia
Implantes dentales
Dientes -- Extracción
Tejido óseo
Pérdida ósea
Dental implants
Teeth -- Extraction
Bone tissue
Bone loss
616.3
topic Implants dentals
Dents -- Extracció
Teixit ossi
Pèrdua òssia
Implantes dentales
Dientes -- Extracción
Tejido óseo
Pérdida ósea
Dental implants
Teeth -- Extraction
Bone tissue
Bone loss
616.3
description Background: Immediate implants are frequently employed in the anterior maxillary area. However, the installation of dental implants simultaneously with tooth extraction can also provide with benefits in the posterior areas with a reduction in time prior the recovery of the masticatory function. Results previously reported in the literature show high-survival and success rates for implants placed in extraction sockets in molar areas; however, this topic has received limited systematic analysis. Material and methods: Electronic and manual literature searches were performed by two independent reviewers in several data-bases, including MEDLINE, EMBASE, and Cochrane Oral Health Group Trials Register, for articles up to January 2019 reporting outcomes of immediate implants placed in molar areas. Primary outcomes included survival and success rates, as well as marginal bone loss. Secondary outcomes included the influence of implant position, type of implant connection, grafting protocol, flap or flapless approach, implant diameter, surgical phase, presence of buccal plate, and loading protocol. Results: Twenty studies provided information on the survival rate, with a total sample of 1.106 implants. The weighted mean survival rate of immediate implants after 1 year of follow-up was 96.6%, and the success rate was 93.3%. On the other hand, marginal bone loss was 1.29 ± 0.24 mm. Secondary outcomes demonstrated that grafting the gap and the loading protocol have an effect on survival and success rates. Similarly, the presence or absence of the buccal bone affect crestal bone levels. Meta-analysis of 4 investigations showed a weighted mean difference of 0.31 mm ± 0.8 IC 95% (0.15–0.46) more marginal bone loss at immediate implant placement versus implants in healed sites (p < 0.001) I 2 = 15.2%. Conclusion: In selected scenarios, immediate implant placement in molar extraction socket might be considered a predictable technique as demonstrated by a high survival and success rates, with minimal marginal bone loss.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12328/2592
https://dx.doi.org/10.1186/s40729-020-00235-5
url http://hdl.handle.net/20.500.12328/2592
https://dx.doi.org/10.1186/s40729-020-00235-5
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv International Journal of Implant Dentistry
6;
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 12
dc.publisher.none.fl_str_mv Springer Nature
publisher.none.fl_str_mv Springer Nature
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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