The effect of soft tissue augmentation on the clinical and radiographical outcomes following immediate implant placement and provisionalization: a systematic review and meta-analysis.

Connective Tissue / diagnostic imaging Esthetics, Dental Humans Immediate Dental Implant Loading Mouth Mucosa / surgery Radiography
Connective tissue Dental implants Soft tissue augmentation

Journal

International journal of implant dentistry
ISSN: 2198-4034
Titre abrégé: Int J Implant Dent
Pays: Germany
ID NLM: 101676532

Informations de publication

Date de publication:
26 08 2021
Historique:
received: 06 02 2021
accepted: 16 06 2021
entrez: 26 8 2021
pubmed: 27 8 2021
medline: 25 11 2021
Statut: epublish

Résumé

Nowadays, due to the esthetic and social demands of patients, conventional staged protocols seem to be increasingly replaced by faster, one-step protocols. The purpose of the present systematic review is to assess the peri-implant soft tissue changes after immediate implant placement and provisionalization (IIPP) comparing patients treated with or without a sub-epithelial connective tissue graft (SCTG) when replacing a single tooth in the esthetic region. The present systematic review was written following the PRISMA checklist. Immediate implants placed with a connective tissue graft and without one were compared. The researched primary outcomes were the mid-buccal mucosa level (MBML) facial soft tissue thickness (FSTT) and marginal bone loss (MBL). The weighted mean differences (WMD) were estimated for all three outcomes. The change in the mid-buccal mucosa level in the intervention group was significantly higher (WMD 0.54; 95% CI 0.33-0.75), with no indication of heterogeneity (I The results of the meta-analyses showed a statistically significant reduced change of the marginal bone loss and vestibular recession, as well as higher soft tissue thickness, when a graft was used. The included studies had a short observation time; therefore, studies with longer follow-ups are needed to confirm these findings.

Sections du résumé

BACKGROUND
Nowadays, due to the esthetic and social demands of patients, conventional staged protocols seem to be increasingly replaced by faster, one-step protocols. The purpose of the present systematic review is to assess the peri-implant soft tissue changes after immediate implant placement and provisionalization (IIPP) comparing patients treated with or without a sub-epithelial connective tissue graft (SCTG) when replacing a single tooth in the esthetic region.
METHODS
The present systematic review was written following the PRISMA checklist. Immediate implants placed with a connective tissue graft and without one were compared. The researched primary outcomes were the mid-buccal mucosa level (MBML) facial soft tissue thickness (FSTT) and marginal bone loss (MBL). The weighted mean differences (WMD) were estimated for all three outcomes.
RESULTS
The change in the mid-buccal mucosa level in the intervention group was significantly higher (WMD 0.54; 95% CI 0.33-0.75), with no indication of heterogeneity (I
CONCLUSIONS
The results of the meta-analyses showed a statistically significant reduced change of the marginal bone loss and vestibular recession, as well as higher soft tissue thickness, when a graft was used. The included studies had a short observation time; therefore, studies with longer follow-ups are needed to confirm these findings.

Identifiants

DOI: 10.1186/s40729-021-00365-4 PMID: 34435229 PMC: PMC8387538
pubmed: 34435229
doi: 10.1186/s40729-021-00365-4
pii: 10.1186/s40729-021-00365-4
pmc: PMC8387538
doi:

Types de publication

Journal Article Meta-Analysis Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

86

Informations de copyright

© 2021. The Author(s).

Références

Int J Oral Maxillofac Implants. 2010 May-Jun;25(3):562-70
pubmed: 20556256
J Prosthet Dent. 2015 Sep;114(3):403-6.e1
pubmed: 26047800
J Clin Periodontol. 2017 Feb;44(2):215-224
pubmed: 27978602
Dtsch Zahnarztl Z. 1978 May;33(5):348-59
pubmed: 348452
J Clin Periodontol. 2018 Apr;45(4):504-512
pubmed: 29290089
Int J Oral Surg. 1981 Dec;10(6):387-416
pubmed: 6809663
Int J Oral Maxillofac Implants. 2009;24 Suppl:272-8
pubmed: 19885450
Clin Oral Implants Res. 2008 Apr;19(4):387-92
pubmed: 18266873
Clin Oral Implants Res. 2007 Oct;18(5):552-62
pubmed: 17608739
Clin Oral Implants Res. 2006 Oct;17 Suppl 2:82-92
pubmed: 16968384
Clin Oral Implants Res. 2016 Jun;27(6):650-5
pubmed: 26474541
J Oral Maxillofac Surg. 2009 Nov;67(11 Suppl):40-8
pubmed: 19835749
Pract Proced Aesthet Dent. 2003 Mar;15(2):115-22, 124; quiz 126
pubmed: 12772628
Clin Implant Dent Relat Res. 2015 Dec;17(6):1114-26
pubmed: 24852761
Clin Oral Implants Res. 2004 Jun;15(3):269-77
pubmed: 15142088
Eur J Oral Implantol. 2010 Autumn;3(3):189-205
pubmed: 20847990
J Periodontol. 2016 Feb;87(2):156-67
pubmed: 26469808
Biomed Res Int. 2021 Jan 5;2021:8822804
pubmed: 33490278
J Evid Based Dent Pract. 2006 Jun;6(2):155-63
pubmed: 17138420
Pract Periodontics Aesthet Dent. 1998 Nov-Dec;10(9):1107-14; quiz 1116
pubmed: 10093556
J Periodontol. 2013 Dec;84(12):1755-67
pubmed: 23451989
Int J Periodontics Restorative Dent. 2012 Dec;32(6):657-63
pubmed: 23057055
Int J Oral Maxillofac Implants. 2014;29 Suppl:186-215
pubmed: 24660198
J Clin Periodontol. 2004 Oct;31(10):820-8
pubmed: 15367183
J Prosthet Dent. 1999 May;81(5):537-52
pubmed: 10220658
Clin Oral Implants Res. 2018 Dec;29(12):1177-1185
pubmed: 30346630
Clin Implant Dent Relat Res. 2019 Feb;21(1):145-153
pubmed: 30508313
J Clin Periodontol. 2014 Sep;41(9):914-26
pubmed: 24894299
Quintessence Int. 2020;51(1):28-36
pubmed: 31463483
Clin Oral Implants Res. 2008 Jan;19(1):73-80
pubmed: 17956569
Int J Esthet Dent. 2016 Summer;11(2):174-85
pubmed: 27092345
Clin Oral Implants Res. 2010 Jan;21(1):13-21
pubmed: 19922492
J Clin Periodontol. 2012 Jun;39(6):582-9
pubmed: 22509794
Int J Periodontics Restorative Dent. 2018 Apr 20;39(3):381–389
pubmed: 29677227
Int J Periodontics Restorative Dent. 2015 Mar-Apr;35(2):191-8
pubmed: 25738339
Clin Implant Dent Relat Res. 2018 Jun;20(3):285-293
pubmed: 29575589
Periodontol 2000. 2018 Jun;77(1):176-196
pubmed: 29484714
Clin Oral Implants Res. 2015 Feb;26(2):123-9
pubmed: 24313250
Periodontol 2000. 2018 Jun;77(1):197-212
pubmed: 29478284
Pract Proced Aesthet Dent. 2005 Jun;17(5):331-8; quiz 340
pubmed: 16121750
Clin Oral Implants Res. 2015 Apr;26(4):359-370
pubmed: 24814519
J Clin Periodontol. 2016 Aug;43(8):702-9
pubmed: 27120578
J Periodontol. 2021 Apr;92(4):553-561
pubmed: 32918332
Int J Oral Maxillofac Implants. 2014 Mar-Apr;29(2):432-40
pubmed: 24683571
Clin Oral Implants Res. 2018 Mar;29 Suppl 15:7-10
pubmed: 29498127
Clin Oral Implants Res. 2018 Mar;29 Suppl 15:14-17
pubmed: 29498131
J Periodontol. 2015 Dec;86(12):1321-30
pubmed: 26313019
Clin Oral Implants Res. 2012 Feb;23 Suppl 5:39-66
pubmed: 22211305
Periodontol 2000. 2014 Oct;66(1):97-105
pubmed: 25123763
Clin Implant Dent Relat Res. 2015 Oct;17(5):983-95
pubmed: 24373419
BMJ. 2011 Jul 22;343:d4002
pubmed: 21784880

Auteurs

Paolo De Angelis (P)

Division of Oral Surgery and Implantology, Department of Head and Neck, Oral Surgery, and Implantology Unit, Institute of Clinical Dentistry, Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy. dr.paolodeangelis@gmail.com.
Department of Head and Neck, Oral Surgery and Implantology Unit, Institute of Clinical Dentistry, Catholic University of the Sacred Heart, Gemelli University Polyclinic Foundation, Rome, Italy. dr.paolodeangelis@gmail.com.

Paolo Francesco Manicone (PF)

Division of Oral Surgery and Implantology, Department of Head and Neck, Oral Surgery, and Implantology Unit, Institute of Clinical Dentistry, Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.

Edoardo Rella (E)

Division of Oral Surgery and Implantology, Department of Head and Neck, Oral Surgery, and Implantology Unit, Institute of Clinical Dentistry, Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.

Margherita Giorgia Liguori (MG)

Division of Oral Surgery and Implantology, Department of Head and Neck, Oral Surgery, and Implantology Unit, Institute of Clinical Dentistry, Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.

Silvio De Angelis (S)

Private Dental Practice, Ascoli Piceno, Italy.

Sileno Tancredi (S)

Division of Oral Surgery and Implantology, Department of Head and Neck, Oral Surgery, and Implantology Unit, Institute of Clinical Dentistry, Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.

Antonio D'Addona (A)

Division of Oral Surgery and Implantology, Department of Head and Neck, Oral Surgery, and Implantology Unit, Institute of Clinical Dentistry, Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.

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Classifications MeSH

questionsmedicales.fr › Tissus › Tissu conjonctif › The effect of soft tissue augmentation on the...
questionsmedicales.fr › Dentisterie esthétique › The effect of soft tissue augmentation on the...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › The effect of soft tissue augmentation on the...
questionsmedicales.fr › Pose d'implant dentaire › Pose d'implant dentaire endo-osseux › Pose immédiate d'implant dentaire › The effect of soft tissue augmentation on the...
questionsmedicales.fr › Système stomatognathique › Bouche › Muqueuse de la bouche › The effect of soft tissue augmentation on the...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Radiographie › The effect of soft tissue augmentation on the...