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Treatment outcome of immediate, early and conventional single‐tooth implants in the aesthetic zone: a systematic review to survival, bone level, soft‐tissue, aesthetics and patient satisfaction

Identifieur interne : 007119 ( Istex/Corpus ); précédent : 007118; suivant : 007120

Treatment outcome of immediate, early and conventional single‐tooth implants in the aesthetic zone: a systematic review to survival, bone level, soft‐tissue, aesthetics and patient satisfaction

Auteurs : Laurens Den Hartog ; James J. R. Huddleston Slater ; Arjan Vissink ; Henny J. A. Meijer ; Gerry M. Raghoebar

Source :

RBID : ISTEX:E3AB26DBCF16232359B9C483DB1D75502AA0AFC1

English descriptors

Abstract

Aim: This study evaluated, through a systematic review of the literature, the outcome of single‐implant restorations in the aesthetic zone with natural adjacent teeth, thereby addressing immediate, early and conventional implant approaches.

Url:
DOI: 10.1111/j.1600-051X.2008.01330.x

Links to Exploration step

ISTEX:E3AB26DBCF16232359B9C483DB1D75502AA0AFC1

Le document en format XML

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<div type="abstract">Aim: This study evaluated, through a systematic review of the literature, the outcome of single‐implant restorations in the aesthetic zone with natural adjacent teeth, thereby addressing immediate, early and conventional implant approaches.</div>
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This study evaluated, through a systematic review of the literature, the outcome of single‐implant restorations in the aesthetic zone with natural adjacent teeth, thereby addressing immediate, early and conventional implant approaches.</p>
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<hi rend="bold">Material and Methods: </hi>
MEDLINE (1950–2008), EMBASE (1966–2008), and CENTRAL (1800–2008) were searched to identify eligible studies. Two reviewers independently assessed the methodological quality using specific study‐design‐related assessment forms.</p>
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<hi rend="bold">Results: </hi>
Out of 86 primarily selected articles, 19 studies fulfilled the inclusion criteria. A meta‐analysis showed an overall survival rate of 95.5% [95% confidence interval: (93.0–97.1)] after 1 year. A stratified meta‐analysis revealed no differences in survival between immediate, early and conventional implant strategies. Little marginal peri‐implant bone resorption was found together with low incidence of biological and technical complications. No significant differences in outcome measures were reported in clinical trials comparing immediate, early or conventional implant strategies.</p>
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<hi rend="bold">Conclusion: </hi>
The included literature suggested that promising short‐term results could be achieved for immediate, early and conventional single‐implants in the aesthetic zone. However, important parameters as aesthetic outcome, soft‐tissue aspects, and patient satisfaction were clearly underexposed. The question whether immediate and early single‐implant therapies would result in better treatment outcomes remained inconclusive due to lack of well‐designed controlled clinical studies.</p>
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den Hartog L, Huddleston Slater JJR, Vissink A, Meijer HJA, Raghoebar GM. Treatment outcome of immediate, early and conventional single-tooth implants in the aesthetic zone: a systematic review to survival, bone level, soft-tissue, aesthetics and patient satisfaction. J Clin Periodontol 2008; 35: 1073–1086. doi: 10.1111/j.1600-051X.2008.01330.x.

-->
<title type="main">Abstract</title>
<p>
<b>Aim: </b>
This study evaluated, through a systematic review of the literature, the outcome of single‐implant restorations in the aesthetic zone with natural adjacent teeth, thereby addressing immediate, early and conventional implant approaches.</p>
<p>
<b>Material and Methods: </b>
MEDLINE (1950–2008), EMBASE (1966–2008), and CENTRAL (1800–2008) were searched to identify eligible studies. Two reviewers independently assessed the methodological quality using specific study‐design‐related assessment forms.</p>
<p>
<b>Results: </b>
Out of 86 primarily selected articles, 19 studies fulfilled the inclusion criteria. A meta‐analysis showed an overall survival rate of 95.5% [95% confidence interval: (93.0–97.1)] after 1 year. A stratified meta‐analysis revealed no differences in survival between immediate, early and conventional implant strategies. Little marginal peri‐implant bone resorption was found together with low incidence of biological and technical complications. No significant differences in outcome measures were reported in clinical trials comparing immediate, early or conventional implant strategies.</p>
<p>
<b>Conclusion: </b>
The included literature suggested that promising short‐term results could be achieved for immediate, early and conventional single‐implants in the aesthetic zone. However, important parameters as aesthetic outcome, soft‐tissue aspects, and patient satisfaction were clearly underexposed. The question whether immediate and early single‐implant therapies would result in better treatment outcomes remained inconclusive due to lack of well‐designed controlled clinical studies.</p>
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<b>Conflict of interest and sources of funding statement</b>

The authors declare that there are no conflicts of interest in this study and no external funding was obtained.</p>
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<affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands</affiliation>
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<publisher>Blackwell Publishing Ltd</publisher>
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<placeTerm type="text">Oxford, UK</placeTerm>
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<dateIssued encoding="w3cdtf">2008-12</dateIssued>
<edition>Accepted for publication 29 August 2008</edition>
<copyrightDate encoding="w3cdtf">2008</copyrightDate>
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<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<abstract>Aim: This study evaluated, through a systematic review of the literature, the outcome of single‐implant restorations in the aesthetic zone with natural adjacent teeth, thereby addressing immediate, early and conventional implant approaches.</abstract>
<abstract>Material and Methods: MEDLINE (1950–2008), EMBASE (1966–2008), and CENTRAL (1800–2008) were searched to identify eligible studies. Two reviewers independently assessed the methodological quality using specific study‐design‐related assessment forms.</abstract>
<abstract>Results: Out of 86 primarily selected articles, 19 studies fulfilled the inclusion criteria. A meta‐analysis showed an overall survival rate of 95.5% [95% confidence interval: (93.0–97.1)] after 1 year. A stratified meta‐analysis revealed no differences in survival between immediate, early and conventional implant strategies. Little marginal peri‐implant bone resorption was found together with low incidence of biological and technical complications. No significant differences in outcome measures were reported in clinical trials comparing immediate, early or conventional implant strategies.</abstract>
<abstract>Conclusion: The included literature suggested that promising short‐term results could be achieved for immediate, early and conventional single‐implants in the aesthetic zone. However, important parameters as aesthetic outcome, soft‐tissue aspects, and patient satisfaction were clearly underexposed. The question whether immediate and early single‐implant therapies would result in better treatment outcomes remained inconclusive due to lack of well‐designed controlled clinical studies.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>aesthetics</topic>
<topic>dental implants</topic>
<topic>immediate loading</topic>
<topic>immediate placement</topic>
<topic>patient satisfaction</topic>
<topic>single‐tooth</topic>
<topic>soft tissue</topic>
<topic>survival</topic>
<topic>systematic review</topic>
</subject>
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<title>Journal of Clinical Periodontology</title>
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<identifier type="ISSN">0303-6979</identifier>
<identifier type="eISSN">1600-051X</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-051X</identifier>
<identifier type="PublisherID">JCPE</identifier>
<part>
<date>2008</date>
<detail type="volume">
<caption>vol.</caption>
<number>35</number>
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<detail type="issue">
<caption>no.</caption>
<number>12</number>
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<extent unit="pages">
<start>1073</start>
<end>1086</end>
<total>14</total>
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<identifier type="ark">ark:/67375/WNG-4RM4BGND-7</identifier>
<identifier type="DOI">10.1111/j.1600-051X.2008.01330.x</identifier>
<identifier type="ArticleID">JCPE1330</identifier>
<accessCondition type="use and reproduction" contentType="copyright">© 2008 The Authors. Journal compilation © 2008 Blackwell Munksgaard</accessCondition>
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