Shamir Raviv, Daugela Povilas, Juodzbalys Gintaras
Department of Maxillofacial Surgery, Faculty of Odontology, Medical Academy Lithuanian University of Health Sciences, KaunasLithuania.
J Oral Maxillofac Res. 2022 Jun 30;13(2):e1. doi: 10.5037/jomr.2022.13201. eCollection 2022 Apr-Jun.
The primary objective of the present systematic review is to test the hypothesis - the revision of the complexity of the extraction sockets morphology classifications will reveal the most important parameters for implant aesthetic and functional success in case of immediate dental implant placement in aesthetic zone. The secondary objective is to revise the most important parameters of aesthetic indexes created for implant-supported restoration in aesthetic zone.
MEDLINE (PubMed) and Cochrane Library search in combination with hand-search of relevant journals was conducted including human studies published in English between 1 January 2005 and 1 February 2022. After evaluation of the titles and abstracts in accordance with the PRISMA guidelines, risk-of-bias assessment was evaluated and data was extracted from the full papers.
Electronic and hand searching resulted in 477 entries. Five systematic reviews, research syntheses and 7 prospective studies met the inclusion criteria and were included in the final data synthesis. Selected articles reported the different classifications complexity of the extraction sockets morphology and aesthetic indexes for implant supported restoration in aesthetic zone.
The most important parameters for implant aesthetics and functional success, incorporated in classifications of extraction sockets are facial soft tissue level and quality, gingival biotype, keratinized gingival, mesial and distal papillae appearance, buccal bone level and thickness, labial and buccal bone plates damage and bone lesions. The most important aesthetic indexes parameters are soft tissue contour position, including colour and texture, interdental papilla, mesial and distal interproximal bone height, gingival biotype.
本系统评价的主要目的是检验这一假设——对拔牙窝形态分类复杂性的修订将揭示在美学区域即刻种植时种植体美学和功能成功的最重要参数。次要目的是修订为美学区域种植支持修复所创建的美学指标的最重要参数。
对MEDLINE（PubMed）和Cochrane图书馆进行检索，并结合对相关期刊的手工检索，纳入2005年1月1日至2022年2月1日期间发表的英文人体研究。根据PRISMA指南对标题和摘要进行评估后，对偏倚风险进行评估，并从全文中提取数据。
电子检索和手工检索共得到477条记录。五项系统评价、研究综述和七项前瞻性研究符合纳入标准，被纳入最终的数据综合分析。入选文章报道了美学区域拔牙窝形态和种植支持修复美学指标的不同分类复杂性。
拔牙窝分类中纳入的种植体美学和功能成功的最重要参数是面部软组织水平和质量、牙龈生物型、角化龈、近中及远中乳头外观、颊侧骨水平和厚度、唇侧和颊侧骨板损伤及骨病变。最重要的美学指标参数是软组织轮廓位置，包括颜色和质地、牙间乳头、近中及远中邻面骨高度、牙龈生物型。
