Immediate restoration/loading of immediately placed single implants: is it an effective bimodal approach?
- 4 June 2009
- journal article
- research article
- Published by Wiley in Clinical Oral Implants Research
- Vol. 20 (7), 645-659
- https://doi.org/10.1111/j.1600-0501.2009.01725.x
Abstract
To compare systematically the survival and radiographic marginal bone level changes of two immediate implant protocols in the aesthetic region; immediate single implant restoration/loading in extraction sockets (the bimodal approach) compared with the same in healed sites. A literature search of electronic databases, Cochrane Oral Health Group's Trials Register, National Research Register, conference proceedings and abstracts was performed without language restriction up to 1 August 2008. Hand searching included several dental journals and authors were contacted for missing information. Controlled trials that compared immediate restoration/loading of single implants placed in extraction sites with those placed in healed sites were selected. The meta-analysis was prepared according to the guidelines of the Quality of Reporting of Meta-analyses statement. The data were analysed using RevMan version 5.0 software. A fixed effects model was chosen with standardized mean differences for continuous data, and risk ratios for dichotomous data with 95% confidence intervals. Ten studies with 629 implants were included. Immediate single implant restoration/loading in extraction sockets in the aesthetic zone was associated with significantly higher risk of implant failure (risk ratio of 3.62, 95% confidence interval 1.15-11.45, P=0.03). However, the bimodal approach showed favourable marginal bone changes after 1 year. The review and meta-analysis supported the potential advantages offered by this bimodal approach, but indicated a higher risk when compared with immediate restoration/loading in healed ridges. Further long-term, well-conducted, randomized-controlled studies are needed to confirm the validity of this treatment option.Keywords
This publication has 54 references indexed in Scilit:
- Early Implant Placement With Simultaneous Guided Bone Regeneration Following Single‐Tooth Extraction in the Esthetic Zone: A Cross‐Sectional, Retrospective Study in 45 Subjects With a 2‐ to 4‐Year Follow‐UpThe Journal of Periodontology, 2008
- Interventions for replacing missing teeth: antibiotics at dental implant placement to prevent complicationsPublished by Wiley ,2008
- Success Rate of Immediate Nonfunctional Loaded Single-Tooth Implants: Immediate Versus Delayed ImplantationImplant Dentistry, 2008
- Interventions for replacing missing teeth: dental implants in fresh extraction sockets (immediate, immediate-delayed and delayed implants)Published by Wiley ,2006
- Influence of Different Prophylactic Antibiotic Regimens on Implant Survival Rate: A Retrospective Clinical StudyClinical Implant Dentistry and Related Research, 2005
- Single-Tooth Replacements in the Esthetic Zone With an Immediate Function Implant: A Preliminary ReportJournal of Oral Implantology, 2004
- Immediate and Early Function of Brånemark System® Implants Placed in the Esthetic Zone: A 1‐Year Prospective Clinical Multicenter StudyClinical Implant Dentistry and Related Research, 2003
- Quantifying heterogeneity in a meta‐analysisStatistics in Medicine, 2002
- Assessing the quality of reports of randomized clinical trials: Is blinding necessary?Controlled Clinical Trials, 1996
- Guided Tissue Regeneration for Implants Placed Into Extraction Sockets: A Study in DogsThe Journal of Periodontology, 1991