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Immediate implant placement with or without socket grafting : a systematic review and meta‐analysis

Lorenz Seyssens (UGent) , Célien Eeckhout (UGent) and Jan Cosyn (UGent)
Author
Organization
Abstract
Objectives To assess the effect of grafting the gap (SG) between the implant surface and alveolar socket on hard and soft tissue changes 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 August 2021. Randomized controlled trials (RCTs) comparing IIP with and without SG were included for a qualitative analysis. Meta-analyses were performed when possible. Results Out of 3627 records, 15 RCTs were selected and reported on 577 patients who received 604 single immediate implants (IIP + SG: 298 implants in 292 patients; IIP: 306 implants in 285 patients) with a mean follow-up ranging from 4 to 36 months. Two RCTs showed low risk of bias. Meta-analysis revealed 0.59 mm (95% CI [0.41; 0.78], p < 0.001) or 54% less horizontal buccal bone resorption following IIP + SG when compared to IIP alone. In addition, 0.58 mm (95% CI [0.28; 0.88], p < 0.001) less apical migration of the midfacial soft tissue level was found when immediate implants were installed with SG. A trend towards less distal papillary recession was found (MD 0.60 mm, 95% CI [-0.08; 1.28], p = 0.080) when SG was performed, while mesial papillae appeared not significantly affected by SG. Vertical buccal bone changes were also not significantly affected by SG. Insufficient data were available for meta-analyses on horizontal midfacial soft tissue changes, pink esthetic score, marginal bone level changes, probing depth and bleeding on probing. Based on GRADE guidelines, a moderate recommendation for SG following IIP can be made. Conclusion SG may contribute to horizontal bone preservation and soft tissue stability at the midfacial aspect of immediate implants. Therefore, SG should be considered as an adjunct to IIP in clinical practice.
Keywords
General Dentistry, Oral Surgery, bone graft, dental implant, immediate, single tooth, socket graft, GUIDED BONE REGENERATION, AESTHETIC ZONE, DIMENSIONAL CHANGES, DENTAL IMPLANTS, BUCCAL BONE, BOVINE BONE, SOFT-TISSUE, SHORT-TERM, GAP, BIO-OSS(R)

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MLA
Seyssens, Lorenz, et al. “Immediate Implant Placement with or without Socket Grafting : A Systematic Review and Meta‐analysis.” CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, vol. 24, no. 3, 2022, pp. 339–51, doi:10.1111/cid.13079.
APA
Seyssens, L., Eeckhout, C., & Cosyn, J. (2022). Immediate implant placement with or without socket grafting : a systematic review and meta‐analysis. CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, 24(3), 339–351. https://doi.org/10.1111/cid.13079
Chicago author-date
Seyssens, Lorenz, Célien Eeckhout, and Jan Cosyn. 2022. “Immediate Implant Placement with or without Socket Grafting : A Systematic Review and Meta‐analysis.” CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH 24 (3): 339–51. https://doi.org/10.1111/cid.13079.
Chicago author-date (all authors)
Seyssens, Lorenz, Célien Eeckhout, and Jan Cosyn. 2022. “Immediate Implant Placement with or without Socket Grafting : A Systematic Review and Meta‐analysis.” CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH 24 (3): 339–351. doi:10.1111/cid.13079.
Vancouver
1.
Seyssens L, Eeckhout C, Cosyn J. Immediate implant placement with or without socket grafting : a systematic review and meta‐analysis. CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH. 2022;24(3):339–51.
IEEE
[1]
L. Seyssens, C. Eeckhout, and J. Cosyn, “Immediate implant placement with or without socket grafting : a systematic review and meta‐analysis,” CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, vol. 24, no. 3, pp. 339–351, 2022.
@article{8756795,
  abstract     = {{Objectives To assess the effect of grafting the gap (SG) between the implant surface and alveolar socket on hard and soft tissue changes 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 August 2021. Randomized controlled trials (RCTs) comparing IIP with and without SG were included for a qualitative analysis. Meta-analyses were performed when possible. Results Out of 3627 records, 15 RCTs were selected and reported on 577 patients who received 604 single immediate implants (IIP + SG: 298 implants in 292 patients; IIP: 306 implants in 285 patients) with a mean follow-up ranging from 4 to 36 months. Two RCTs showed low risk of bias. Meta-analysis revealed 0.59 mm (95% CI [0.41; 0.78], p < 0.001) or 54% less horizontal buccal bone resorption following IIP + SG when compared to IIP alone. In addition, 0.58 mm (95% CI [0.28; 0.88], p < 0.001) less apical migration of the midfacial soft tissue level was found when immediate implants were installed with SG. A trend towards less distal papillary recession was found (MD 0.60 mm, 95% CI [-0.08; 1.28], p = 0.080) when SG was performed, while mesial papillae appeared not significantly affected by SG. Vertical buccal bone changes were also not significantly affected by SG. Insufficient data were available for meta-analyses on horizontal midfacial soft tissue changes, pink esthetic score, marginal bone level changes, probing depth and bleeding on probing. Based on GRADE guidelines, a moderate recommendation for SG following IIP can be made. Conclusion SG may contribute to horizontal bone preservation and soft tissue stability at the midfacial aspect of immediate implants. Therefore, SG should be considered as an adjunct to IIP in clinical practice.}},
  author       = {{Seyssens, Lorenz and Eeckhout, Célien and Cosyn, Jan}},
  issn         = {{1523-0899}},
  journal      = {{CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH}},
  keywords     = {{General Dentistry,Oral Surgery,bone graft,dental implant,immediate,single tooth,socket graft,GUIDED BONE REGENERATION,AESTHETIC ZONE,DIMENSIONAL CHANGES,DENTAL IMPLANTS,BUCCAL BONE,BOVINE BONE,SOFT-TISSUE,SHORT-TERM,GAP,BIO-OSS(R)}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{339--351}},
  title        = {{Immediate implant placement with or without socket grafting : a systematic review and meta‐analysis}},
  url          = {{http://doi.org/10.1111/cid.13079}},
  volume       = {{24}},
  year         = {{2022}},
}

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