Amid Reza, Kadkhodazadeh Mahdi, Moscowchi Anahita
Associate Professor, Department of Periodontics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Professor, Department of Periodontics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Prosthet Dent. 2023 Sep;130(3):307-317. doi: 10.1016/j.prosdent.2021.09.025. Epub 2021 Nov 10.
Immediate implant placement provides a popular therapeutic option. However, compromised sockets may jeopardize the treatment outcome.
The purpose of this systematic review and meta-analysis was to investigate the treatment outcome in terms of the implant survival rate and success parameters of immediate implant placement in compromised extraction sockets.
An electronic search was conducted in PubMed, Embase, Cochrane Library, and ISI Web of Science up to January 2021. Studies evaluating implant survival rate and main success parameters were included for a qualitative and quantitative analysis (risk ratio and mean difference).
In total, 43 studies with analysis of 4825 sockets were included. Compared with the noncompromised sockets, the compromised group showed no significant differences in implant survival rates (risk ratio=0.992; 95% confidence interval (CI)=0.979 to 1.005; P=.246). No significant statistical differences were found in marginal bone level at ≤12 months (mean difference [MD]=0.033; 95% CI=-0.012 to 0.078; P=.154) or esthetic parameters.
Immediate implant placement in compromised sites does not appear to decrease the survival and success rates. However, randomized clinical trials with large sample sizes should be conducted to draw a definite conclusion about the efficacy and safety of this treatment protocol in compromised sockets.
即刻种植是一种常用的治疗方法。然而，存在缺陷的拔牙窝可能会影响治疗效果。
本系统评价和荟萃分析旨在研究在存在缺陷的拔牙窝中即刻种植的种植体存活率和成功参数方面的治疗效果。
截至2021年1月，在PubMed、Embase、Cochrane图书馆和ISI科学网进行了电子检索。纳入评估种植体存活率和主要成功参数的研究进行定性和定量分析（风险比和平均差）。
共纳入43项研究，分析了4825个拔牙窝。与无缺陷的拔牙窝相比，有缺陷组的种植体存活率无显著差异（风险比=0.992；95%置信区间[CI]=0.979至1.005；P=0.246）。在≤12个月时，边缘骨水平（平均差[MD]=0.033；95%CI=-0.012至0.078；P=0.154）或美学参数方面未发现显著统计学差异。
在存在缺陷的部位即刻种植似乎不会降低存活率和成功率。然而，应进行大样本的随机临床试验，以得出关于该治疗方案在存在缺陷的拔牙窝中的疗效和安全性的明确结论。
