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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Interventions for replacing missing teeth: dental implants in fresh extraction sockets (immediate, immediate-delayed

Marco Esposito1, Maria Gabriella Grusovin, Ilias P Polyzos

  • 1Department of Oral and Maxillofacial Surgery, School of Dentistry, The University of Manchester, Coupland 3 Building, Oxford Road, Manchester, UK, M13 9PL.

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|September 9, 2010
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Summary

Immediate implants may offer better aesthetics but carry higher risks of failure compared to delayed implants. Evidence on augmentation techniques for immediate implants remains insufficient.

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Published on: October 18, 2021

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Last Updated: Jun 9, 2026

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Published on: October 18, 2021

Area of Science:

  • Dental Implantology
  • Oral Surgery
  • Evidence-Based Dentistry

Background:

  • Immediate implants are placed directly after tooth extraction, aiming to shorten treatment time and preserve bone volume.
  • Immediate-delayed implants are placed weeks to months post-extraction, allowing for soft tissue healing.
  • Delayed implants are placed in fully healed bone, considered the traditional approach.

Purpose of the Study:

  • To compare the success, complications, aesthetics, and patient satisfaction of immediate, immediate-delayed, and delayed dental implants.
  • To assess the necessity and effectiveness of bone augmentation techniques for immediate implants.

Main Methods:

  • A systematic review of randomized controlled trials (RCTs) was conducted, searching major databases up to June 2010.
  • Included RCTs compared implant placement timing or bone augmentation procedures, with outcomes assessed at least 1 year after functional loading.
  • Data were extracted and analyzed independently, with results expressed using random-effects models.

Main Results:

  • Limited RCTs found no significant differences between immediate and delayed implants in overall success.
  • Immediate-delayed implants showed better short-term aesthetics and patient satisfaction but higher complication rates.
  • Insufficient evidence exists regarding the necessity or superiority of specific bone augmentation techniques for immediate implants.

Conclusions:

  • Current evidence is insufficient to definitively conclude the advantages or disadvantages of immediate, immediate-delayed, or delayed implants due to limited, underpowered, and potentially biased trials.
  • Immediate and immediate-delayed implants may present higher risks of failure and complications, though potentially offering better aesthetics.
  • Reliable evidence is lacking to support or refute the need for augmentation procedures with immediate implants or to identify the most effective technique.