CLINICAL OUTCOME OF PERI-IMPLANT SOFT AND HARD TISSUES AFTER IMMEDIATE IMPLANT PLACEMENT: A SYSTEMATIC REVIEW AND META-ANALYSIS

Ali Amiri; Babak Naziri; Amir Azizi; Saeed Hasani Mehraban; Juliane Pereira Butze

doi:10.46903/gjms/20.01.1091

CLINICAL OUTCOME OF PERI-IMPLANT SOFT AND HARD TISSUES AFTER IMMEDIATE IMPLANT PLACEMENT: A SYSTEMATIC REVIEW AND META-ANALYSIS

Ali Amiri, Babak Naziri, Amir Azizi, Saeed Hasani Mehraban, Juliane Pereira Butze

Abstract

Background: One of the most important challenges in dental implant placement is supporting and preserving soft tissue and bone structures. Numerous studies on fixation of soft and hard tissues at the single or double teeth site have reported immediate placement using a flapless protocol, while many studies have reported fewer results in molar extraction solutions. The current study aims to determine the clinical outcome of peri-implant soft and hard tissues following immediate implant placement.

Materials & Methods: This study was conducted in the Department of Orthodontics, College of Stomatology, Xi’an Jiaotong University, Xi’an, China, from January 2021 to September 2021. In this systematic review, the search strategy was to screen electronically all relevant, authentic articles on databases of Embase, LIVIVO, EBSCO, Web of Science, LILACS, Scopus, and PubMed, published from 2011 to September 2021. Risk ratio (RR) was determined for implant failure, and mean differences (MD) were determined for soft tissue, horizontal and vertical buccal bone resorption by 95% CI, Inverse-variance, and fixed effect model or Mantel-Haenszel method between the intervention (bone substitute material) and control (no bone substitute material) groups through Stata/MP v.16.

Results: Risk ratio of implant failure was similar in intervention and control group 0.02 (RR=0.02; 95%CI=-0.04 to 0.08; p=0.49). Mean differences were statistically greater in intervention than control group for soft tissue 1.65 mm (95%CI=1.05 to 2.25; p=0.00), horizontal bone resorption -0.47 mm (95%CI=-0.77 to -0.17 mm; p=0.00) and vertical buccal bone resorption -0.14 mm (95%CI=-0.24 to -0.03 mm; p=0.01).

Conclusion: Our findings revealed no significant difference in implant failure between an intervention (bone substitute material) and control (no bone substitute material) groups. Mean differences were statistically greater in the intervention than the control group for soft tissue, horizontal bone resorption, and vertical buccal bone resorption. Using bone substitute material can improve long-term peri-implant soft tissue, horizontal and vertical buccal bone resorption. It is recommended to use bone-substitute material with a thin buccal plate.

Keywords

Bone; Tissues; Teeth; Bone Resorption; Bone Substitutes; Meta-analysis; Systematic Review; Risk Ratio.

Full Text:

PDF

References

Guo T, Gulati K, Arora H, Han P, Fournier B, Ivanovski S. Race to invade: Understanding soft tissue integration at the transmucosal region of titanium dental implants. Dent Mater J 2021;37(5):816-31. https://doi.org/10.1016/j.dental.2021.02.005

Kour N, Sharma S. Assessing the effects of l-prf on the peri-implant soft and hard tissue parameters in immediate implants: A randomised controlled trial. Int J Sci Res Dent Med Sci 2021;3(4):156-60. https://dx.doi.org/10.30485/ijsrdms.2021.301525.1186

Ramezani E, Ahmadinia AR. Evaluation of the community periodontal index of treatment needs (CPITN) in dialysis patients referring to the hemodialysis Department of 5th Azar Hospital in Gorgan City, 2017-2018. Int J Sci Res Dent Med Sci 2019;1(2):26-30. Doi: https://dx.doi.org/10.30485/ijsrdms.2019.89760

Kresnoadi U, Ariani MD, Djulaeha E, Hendrijantini N. The potential of mangosteen (Garcinia mangostana) peel extract, combined with demineralized freeze-dried bovine bone xenograft, to reduce ridge resorption and alveolar bone regeneration in preserving the tooth extraction socket. J Indian Prosthodont Soc 2017;17(3):282-8. https://doi.org/10.4103/jips.jips_64_17

Schropp L, Isidor F. Timing of implant placement relative to tooth extraction. J Oral Rehabil 2008;35:33-43. https://doi.org/10.1111/j.1365-2842.2007.01827.x

Noelken R, Pausch T, Wagner W, Al-Nawas B. Peri-implant defect grafting with autogenous bone or bone graft material in immediate implant placement in molar extraction sites-1-to 3-year results of a prospective randomized study. Clin. Oral Implants Res 2020;31(11):1138-48. https://doi.org/10.1111/clr.13660

Hämmerle CH, Tarnow D. The etiology of hard-and soft-tissue deficiencies at dental implants: A narrative review. J Clin Periodontol 2018;45:S267-77. https://doi.org/10.1111/jcpe.12955

Ebenezer V, Balakrishnan K, Asir RV, Sragunar B. Immediate placement of endosseous implants into the extraction sockets. J Pharm Bioallied Sci 2015;7(Suppl 1):S234-7. https://doi.org/10.4103/0975-7406.155926

Ferrus J, Cecchinato D, Pjetursson EB, Lang NP, Sanz M, Lindhe J. Factors influencing ridge alterations following immediate implant placement into extraction sockets. Clin Oral Implants Res 2010;21(1):22-9. https://doi.org/10.1111/j.1600-0501.2009.01825.x

Suárez-López del Amo F, Lin GH, Monje A, Galindo-Moreno P, Wang HL. Influence of soft tissue thickness on peri-implant marginal bone loss: A systematic review and meta-analysis. J Periodontol 2016;87(6):690-9. https://doi.org/10.1902/jop.2016.150571

dos Santos Canellas JV, Medeiros PJ, da Silva Figueredo CM, Fischer RG, Ritto FG. Which is the best choice after tooth extraction, immediate implant placement or delayed placement with alveolar ridge preservation? A systematic review and meta-analysis. J Craniomaxillofac Surg 2019;47(11):1793-802. https://doi.org/10.1016/j.jcms.2019.08.004

Meng HW, Chien EY, Chien HH. Immediate implant placement and provisionalization in the esthetic zone: a 6.5-year follow-up and literature review. Case Rep Dent 2021;2021. https://doi.org/10.1155/2021/4290193

Buser D, Chappuis V, Belser UC, Chen S. Implant placement post extraction in esthetic single tooth sites: when immediate, when early, when late? Periodontol 2000. 2017;73(1):84-102. https://doi.org/10.1111/prd.12170

Jacobs BP, Zadeh HH, De Kok I, Cooper L. A Randomized controlled trial evaluating grafting the facial gap at immediately placed implants. Int J Periodontics Restorative Dent 2020;40(3).https://doi.org/10.11607/prd.3774

Yuenyongorarn P, Kan JY, Rungcharassaeng K, Matsuda H, Roe P, Lozada JL, et al. Facial gingival changes with and without socket gap grafting following single maxillary anterior immediate tooth replacement: one-year results. J Oral Implantol 2020;46(5):496-505. https://doi.org/10.1563/aaid-joi-D-19-00187

Bittner N, Planzos L, Volchonok A, Tarnow D, Schulze-Späte U. Evaluation of horizontal and vertical buccal ridge dimensional changes after immediate implant placement and immediate temporization with and without bone augmentation procedures: short-term, 1-year results. a randomized controlled clinical trial. Int J Periodontics Restorative Dent 2020;40(1). https://doi.org/10.11607/prd.4152

Girlanda FF, Feng HS, Corrêa MG, Casati MZ, Pimentel SP, Ribeiro FV, et al. Deproteinized bovine bone derived with collagen improves soft and bone tissue outcomes in flapless immediate implant approach and immediate provisionalization: a randomized clinical trial. Clin Oral Investig 2019;23(10):3885-93. https://doi.org/10.1007/s00784-019-02819-x

Grassi FR, Grassi R, Rapone B, Alemanno G, Balena A, Kalemaj Z. Dimensional changes of buccal bone plate in immediate implants inserted through open flap, open flap and bone grafting and flapless techniques: A cone-beam computed tomography randomized controlled clinical trial. Clin Oral Implants Res 2019;30(12):1155-64. https://doi.org/10.1111/clr.13528

Mastrangelo F, Gastaldi G, Vinci R, Troiano G, Tettamanti L, Gherlone E, et al. Immediate postextractive implants with and without bone graft: 3-year follow-up results from a multicenter controlled randomized trial. Implant Dent 2018;27(6):638-45. https://doi.org/10.1097/ID.0000000000000816

Paknejad M, Akbari S, Aslroosta H, Panjnoush M, Hajheidary S. Effect of flapless immediate implantation and filling the buccal gap with xenograft material on the buccal bone level: a randomized clinical trial. J Dent 2017;14(6):344-51.

Daif ET. Effect of a multiporous beta-tricalicum phosphate on bone density around dental implants inserted into fresh extraction sockets. J Oral Implantol 2013;39(3):339-44. https://doi.org/10.1563/AAID-JOI-D-11-00079

De Angelis N, Felice P, Pellegrino G, Camurati A, Gambino P, Esposito M. Guided bone regeneration with and without a bone substitute at single post-extractive implants: 1-year post-loading results from a pragmatic multicentre randomised controlled trial. Eur J Oral Implantol 2011;4(4):313-25.

Moher D, Liberati A, Tetzlaff J, Altman DG, Altman D, Antes G, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement (Chinese edition). J Chin Integr Med 2009;7(9):889-96. https://doi.org/10.3736/jcim20090918

Higgins JP, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ 2011;343. https://doi.org/10.1136/bmj.d5928

Noelken R, Moergel M, Kunkel M, Wagner W. Immediate and flapless implant insertion and provisionalization using autogenous bone grafts in the esthetic zone: 5-year results. Clin Oral Implants Res 2018 Mar;29(3):320-7. https://doi.org/10.1111/clr.13119

Ketabi M, Deporter D, Atenafu EG. A systematic review of outcomes following immediate molar implant placement based on recently published studies. Clin Implant Dent Relat Res 2016;18(6):1084-94. https://doi.org/10.1111/cid.12390

Willenbacher M, Al-Nawas B, Berres M, Kämmerer PW, Schiegnitz E. The effects of alveolar ridge preservation: a meta-analysis. Clin Implant Dent Relat Res 2016;18(6):1248-68. https://doi.org/10.1111/cid.12364

Zhao H, Hu J, Zhao L. Histological analysis of socket preservation using DBBM. A systematic review and meta-analysis. J Stomatol Oral Maxillofac Surg 2020;121(6):729-35. https://doi.org/10.1016/j.jormas.2020.04.011

Seyssens L, De Lat L, Cosyn J. Immediate implant placement with or without connective tissue graft: A systematic review and meta-analysis. J Clin Periodontol 2021;48(2):284-301. https://doi.org/10.1111/jcpe.13397

Urban T, Kostopoulos L, Wenzel A. Immediate implant placement in molar regions: A 12-month prospective, randomized follow-up study. Clin Oral Implants Res 2012:23(12):1389-97. https://doi.org/10.1111/j.1600-0501.2011.02319.x

Noelken R, Pausch T, Ly TM, Schiegnitz E, Al Nawas B, Wagner W. Immediate implant placement of 5.4 mm OsseoSpeedTM EV implants in molar extraction sites with autogenous defect augmentation. IMPLANTOLOGIE. 2019;27(3):251-62.

Bohner LO, Mukai E, Oderich E, Porporatti AL, Pacheco-Pereira C, Tortamano P, et al. Comparative analysis of imaging techniques for diagnostic accuracy of peri-implant bone defects: a meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol 2017;124(4):432-40. https://doi.org/10.1016/j.oooo.2017.06.119

Elnayef B, Porta C, Del Amo FS, Mordini L, Gargallo-Albiol J, Hernández-Alfaro F. The fate of lateral ridge augmentation: a systematic review and meta-analysis. Int J Oral Maxillofac Implants 2018;33(3):622-635. https://doi.org/10.11607/jomi.6290

Clementini M, Tiravia L, De Risi V, Vittorini Orgeas G, Mannocci A, De Sanctis M. Dimensional changes after immediate implant placement with or without simultaneous regenerative procedures: a systematic review and meta-analysis. J Clin Periodontol 2015;42(7):666-77. https://doi.org/10.1111/jcpe.12423

Mohamed HH, Serag Eldien AM, Zahran A. Augmentation versus no augmentation for immediate postextraction implants. Int J Dent 2018 Oct 16;2018:5209108. https://doi.org/10.1155/2018/5209108

DOI: https://doi.org/10.46903/gjms/20.01.1091