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Midfacial Soft Tissue Recession Following Immediate Implant Placement with Bone Grafting in the Esthetic Area: A Systematic Review and Meta-analysis.

Authors :
Xin-Yu Wu
Jun-Yu Shi
Qi Yan
Source :
International Journal of Oral & Maxillofacial Implants; Mar/Apr2023, Vol. 38 Issue 2, p239-250, 14p
Publication Year :
2023

Abstract

Purpose: To systematically analyze the outcomes of immediate implant placement (IIP) with bone grafting in the esthetic area. Materials and Methods: PubMed, Embase, and Cochrane CENTRAL were searched. Prospective studies reporting midfacial soft tissue recession (primary outcome) of single-tooth IIP with bone grafting in the esthetic area were included. Risks of bias were assessed. Meta-analysis, sensitivity analysis, and meta-regression were undertaken. Results: A total of 13 studies and 421 patients were included, with a follow-up length of 1 to 10 years in function. The weighted mean (95% CI) of midfacial soft tissue recession was 0.33 (0.21, 0.46) mm and 0.54 (0.16, 0.93) mm after 1 year and 5 years in function. Meta-regression indicated that after 1 year in function, there was 0.33 mm less midfacial soft tissue recession with soft tissue grafting (P = .021), while there was 0.58 mm more soft tissue recession (P = .007) in defect extraction sockets. Implant survival was 97.8%, and all failures were early failures. Peri-implant soft and hard tissue stability, periimplant health, esthetic outcomes, and patient satisfaction were predictable within the follow-up period. Conclusion: Midfacial soft tissue recession showed an ongoing status in IIP with bone grafting in the esthetic area within 5 years in function. For extraction sockets with a thin gingival biotype or deficient buccal bone wall, soft tissue grafting was recommended. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
08822786
Volume :
38
Issue :
2
Database :
Complementary Index
Journal :
International Journal of Oral & Maxillofacial Implants
Publication Type :
Academic Journal
Accession number :
163274783
Full Text :
https://doi.org/10.11607/jomi.10014