Soft Tissue Changes Around Immediately Placed Implants: A Systematic Review and Meta-Analyses With at Least 12 Months of Follow-Up After Functional Loading

Journal of Periodontology
Bassam M KinaiaAnthony L Neely

Abstract

Immediate implant placement (IIP) is predictable but can lead to esthetic challenges, including midfacial recession (MFR) and papillary height (PH) loss. The aim of this systematic review is to examine the effect of IIP on MFR and PH after at least 12 months of functional loading. Literature review of the Cochrane and MEDLINE electronic databases and hand search up to January 2016 identified eligible studies. Four reviewers independently assessed data quality and methodology. A total of 106 articles satisfied the inclusion criteria. Twelve studies qualified for three meta-analyses. MFR was slightly less in conventional implant placement (CIP) than in IIP, but the result was not statistically significant (mean difference [MD] -0.064 mm; P = 0.687). Similarly, there was better PH maintenance in CIPs, with statistical significance for distal PH (DPH) only (cumulative PH: MD -0.396, P = 0.010; DPH: MD -0.765, P <0.001; mesial PH [MPH]: MD -0.285, P = 0.256). MFR was slightly less in IIP with thick versus thin biotypes, but not statistically significantly different (MD -0.373, P = 0.243). Pooled data showed statistically significantly less MFR and better PH maintenance in IIP with thick biotype (MFR: MD -0.478, P <0.001; cumulative ...Continue Reading

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Citations

Sep 27, 2018·Clinical Implant Dentistry and Related Research·André HattinghStefan Vandeweghe
Mar 13, 2019·Clinical Implant Dentistry and Related Research·Cristiano SusinTiago Fiorini
Jun 18, 2019·Journal of Clinical Periodontology·Dimitrios PapapetrosDanae A Apatzidou
Sep 13, 2019·Journal of Periodontology·Eric D'SilvaAlexandra Tsigarida
Aug 5, 2020·Journal of Clinical Periodontology·Lorenz SeyssensJan Cosyn
May 16, 2019·Cranio : the Journal of Craniomandibular Practice·Roger Solow
Oct 31, 2020·Journal of Clinical Periodontology·Lorenz SeyssensJan Cosyn

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