Department of Dentistry, State University of Maringá, Maringá, Brazil.
Private Practice Hürzeler/Zuhr, Munich, Germany.
Periodontol 2000. 2023 Feb;91(1):65-88. doi: 10.1111/prd.12441. Epub 2022 Aug 1.
The aim of this systematic review was to evaluate the benefit of ridge preservation (RP) with minimally invasive (MI) approaches with or without concomitant implant placement on morbidity, esthetics, and patient-related outcomes. Three Internet sources were used to search for appropriate papers. The search strategy was designed to include any clinical study published on RP with MI approaches such as flapless surgery, socket shield and socket sealing techniques and, use of biological agents. Characteristics of the individual studies, regarding methodological aspects, quantitative and qualitative data were extracted. The potential risk of bias was estimated, and the acquired evidence was graded. Independent screening of 860 reports resulted in 26 included original articles. Nine publications evaluated MI approaches for RP without concomitant implant placement. Eleven studies evaluated interventions for RP with immediate implant placement (IIP). Six studies compared RP with IIP vs RP without IIP. This systematic review found that MI approaches in most of the studies failed to improve clinical variables regarding morbidity, esthetics, and patient-related outcomes. Based on the limited number of studies analyzed and the methodological discrepancies observed, it is not possible to confirm that MI approaches promote a significant benefit when applied to RP procedures.
本系统评价的目的是评估微创（MI）方法联合或不联合即刻种植体植入的牙槽嵴保存（RP）对发病率、美观和患者相关结局的益处。使用三个互联网资源搜索合适的论文。搜索策略旨在包括任何关于 MI 方法的 RP 临床研究，如无瓣手术、牙槽窝盾牌和牙槽窝密封技术以及生物制剂的使用。提取了关于方法学方面、定量和定性数据的各个研究的特征。估计了潜在的偏倚风险，并对获得的证据进行了分级。对 860 份报告进行独立筛选后，纳入了 26 篇原始文章。有 9 篇出版物评估了无即刻种植体植入的 MI 方法用于 RP。11 项研究评估了用于即刻种植体植入的 RP 干预措施。6 项研究比较了 RP 与 IIP 与 RP 无 IIP。本系统评价发现，在大多数研究中，MI 方法未能改善发病率、美观和患者相关结局的临床变量。基于分析的研究数量有限和观察到的方法学差异，无法确认 MI 方法在 RP 手术中的应用具有显著益处。
