Your browser doesn't support javascript.
loading
Is the facial bone wall critical to achieving esthetic outcomes in immediate implant placement with immediate restoration? A systematic review.
Martins, Sergio Charifker Ribeiro; Da Costa Marques, Marcio; Gomes Vidal, Michael; Tolentino, Pedro Henrique Moreira Paulo; Dinelli, Roberto Galvão; De Oliveira Fernandes, Gustavo Vicentis; Shibli, Jamil Awad.
Afiliación
  • Martins SCR; Department of Periodontology, Dental Research Division, Guarulhos University, Brazil.
  • Da Costa Marques M; Department of Periodontology, Dental Research Division, Guarulhos University, Brazil.
  • Gomes Vidal M; Department of Periodontology, Dental Research Division, Guarulhos University, Brazil.
  • Tolentino PHMP; Department of Periodontology, Dental Research Division, Guarulhos University, Brazil.
  • Dinelli RG; Department of Periodontology, Dental Research Division, Guarulhos University, Brazil.
  • De Oliveira Fernandes GV; Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, USA.
  • Shibli JA; A.T. Still University-Missouri School of Dentistry & Oral Health, St. Louis, USA.
Adv Clin Exp Med ; 2024 Jan 05.
Article en En | MEDLINE | ID: mdl-38180330
ABSTRACT

BACKGROUND:

Rehabilitation in the anterior region requires specific conditions for success, such as the presence of papilla, emergence profile, and balance between pink and white esthetic.

OBJECTIVES:

This systematic review aimed to evaluate the esthetic risk associated with immediate implant placement with immediate restoration in the anterior superior area, where the facial bone plate may be absent or deficient. MATERIAL AND

METHODS:

The search was done in PubMed, Embase, Cochrane, Lilacs, Scopus, Scielo, and Google Scholar databases. The investigation involved clinical studies and observational studies published between January 2012 and July 2023. Studies were excluded if there was less than 12-month follow-up, no immediate restoration or facial defect, heavy smokers, or systemic disease. The risk of bias was assessed using the ROBINS-I and Modified-Cochrane RoB tools.

RESULTS:

Twelve studies were included in this systematic review. The thinner the facial plate, the higher the alveolus's risk of gingival recession or shrinkage. There was an increased interproximal recession when the thin phenotype was associated with flap surgery. An increase in pink esthetic score (PES) was reached when immediate implant placement (IIP) and immediate restoration were done. Soft tissue augmentation achieved more gingival-level stability. Regardless of the initial phenotype, an esthetic outcome was delivered. The risk of bias was high in 1 study and moderate in 3 studies.

CONCLUSION:

It is possible to conclude that esthetic results and increased final PES or patient satisfaction index in IIP treatments associated with immediate restoration could be obtained even in buccal bone wall defects or gingival recession, regardless of their extension.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Systematic_reviews Idioma: En Revista: Adv Clin Exp Med Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Polonia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Systematic_reviews Idioma: En Revista: Adv Clin Exp Med Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Polonia