Outcome of early dental implant placement versus other dental implant placement protocols: A systematic review and meta-analysis.

Dental Implantation, Endosseous Dental Implants Dental Implants, Single-Tooth Dental Prosthesis, Implant-Supported Dental Restoration Failure Immediate Dental Implant Loading Tooth Extraction Tooth Socket Treatment Outcome
clinical protocols dental implantation/methods dental implants meta-analysis time factors tooth extraction tooth socket/surgery

Journal

Journal of periodontology
ISSN: 1943-3670
Titre abrégé: J Periodontol
Pays: United States
ID NLM: 8000345

Informations de publication

Date de publication:
05 2019
Historique:
received: 30 05 2018
revised: 24 10 2018
accepted: 24 10 2018
pubmed: 6 11 2018
medline: 18 12 2019
entrez: 6 11 2018
Statut: ppublish

Résumé

The aim of this systematic review and meta-analysis was to compare the clinical efficacy of the early dental implant placement protocol with immediate and delayed dental implant placement protocols. An electronic and manual search of literature was made to identify clinical studies comparing early implant placement with immediate or delayed placement. Data from the included studies were pooled and quantitative analyses were performed for the implant outcomes reported as the number of failed implants (primary outcome variable) and for changes in peri-implant marginal bone level, peri-implant probing depth, and peri-implant soft tissue level (secondary outcome variables). Twelve studies met the inclusion criteria. Significant difference in risk of implant failure was found neither between the early and immediate placement protocols (risk difference = -0.018; 95% confidence interval [CI] = -0.06, 0.025; P = 0.416) nor between early and delayed placement protocols (risk difference = -0.008; 95% CI = -0.044, 0.028; P = 0.670). Pooled data of changes in peri-implant marginal bone level demonstrated significantly less marginal bone loss for implants placed using the early placement protocol compared with those placed in fresh extraction sockets (P = 0.001; weighted mean difference = -0.14 mm; 95% CI = -0.22, -0.05). No significant differences were found between the protocols for the other variables. The available evidence supports the clinical efficacy of the early implant placement protocol. Present findings indicate that the early implant placement protocol results in implant outcomes similar to immediate and delayed placement protocols and a superior stability of peri-implant hard tissue compared with immediate implant placement.

Sections du résumé

BACKGROUND
The aim of this systematic review and meta-analysis was to compare the clinical efficacy of the early dental implant placement protocol with immediate and delayed dental implant placement protocols.
METHODS
An electronic and manual search of literature was made to identify clinical studies comparing early implant placement with immediate or delayed placement. Data from the included studies were pooled and quantitative analyses were performed for the implant outcomes reported as the number of failed implants (primary outcome variable) and for changes in peri-implant marginal bone level, peri-implant probing depth, and peri-implant soft tissue level (secondary outcome variables).
RESULTS
Twelve studies met the inclusion criteria. Significant difference in risk of implant failure was found neither between the early and immediate placement protocols (risk difference = -0.018; 95% confidence interval [CI] = -0.06, 0.025; P = 0.416) nor between early and delayed placement protocols (risk difference = -0.008; 95% CI = -0.044, 0.028; P = 0.670). Pooled data of changes in peri-implant marginal bone level demonstrated significantly less marginal bone loss for implants placed using the early placement protocol compared with those placed in fresh extraction sockets (P = 0.001; weighted mean difference = -0.14 mm; 95% CI = -0.22, -0.05). No significant differences were found between the protocols for the other variables.
CONCLUSIONS
The available evidence supports the clinical efficacy of the early implant placement protocol. Present findings indicate that the early implant placement protocol results in implant outcomes similar to immediate and delayed placement protocols and a superior stability of peri-implant hard tissue compared with immediate implant placement.

Identifiants

DOI: 10.1002/JPER.18-0338 PMID: 30395355 PMC: PMC6500770
pubmed: 30395355
doi: 10.1002/JPER.18-0338
pmc: PMC6500770
mid: NIHMS1007867
doi:

Substances chimiques

Dental Implants 0

Types de publication

Journal Article Meta-Analysis Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

493-506

Subventions

Organisme : NCATS NIH HHS
ID : UL1 TR001102
Pays : United States

Informations de copyright

© 2018 American Academy of Periodontology.

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Auteurs

Seyed Hossein Bassir (SH)

Division of Periodontology, Department of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Boston, MA, USA.
Department of Periodontology, School of Dental Medicine, Stony Brook University, Stony Brook, NY, USA.

Karim El Kholy (K)

Division of Periodontology, Department of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Boston, MA, USA.
Division of Implants and Regenerative Medicine, Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine.
Department of Oral Surgery and Stomatology, University of Bern, Bern, Switzerland.

Chia-Yu Chen (CY)

Division of Periodontology, Department of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Boston, MA, USA.

Kyu Ha Lee (KH)

The Forsyth Institute, Cambridge, MA, USA.
Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine.

Giuseppe Intini (G)

Harvard Stem Cell Institute, Cambridge, MA, USA.
Department of Periodontics and Preventive Dentistry, University of Pittsburgh School of Dental Medicine, Pittsburgh, PA, USA.
University of Pittsburgh McGowan Institute for Regenerative Medicine, Pittsburgh, PA, USA.

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Classifications MeSH

questionsmedicales.fr › Pose d'implant dentaire › Pose d'implant dentaire endo-osseux › Outcome of early dental implant placement...
questionsmedicales.fr › Technologie, industrie et agriculture › Produits manufacturés › Matériaux biomédicaux et dentaires › Matériaux dentaires › Implants dentaires › Outcome of early dental implant placement...
questionsmedicales.fr › Équipement et fournitures › Prothèses et implants › Prothèses dentaires › Implants dentaires unitaires › Outcome of early dental implant placement...
questionsmedicales.fr › Équipement et fournitures › Prothèses et implants › Prothèses dentaires › Prothèse dentaire implanto-portée › Outcome of early dental implant placement...
questionsmedicales.fr › Échec de restauration dentaire › Outcome of early dental implant placement...
questionsmedicales.fr › Pose d'implant dentaire › Pose d'implant dentaire endo-osseux › Pose immédiate d'implant dentaire › Outcome of early dental implant placement...
questionsmedicales.fr › Procédures de chirurgie maxillofaciale et buccodentaire › Extraction dentaire › Outcome of early dental implant placement...
questionsmedicales.fr › Système stomatognathique › Bouche › Denture › Parodonte › Processus alvéolaire › Alvéole dentaire › Outcome of early dental implant placement...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Outcome of early dental implant placement...