Immediate implant placement in compromised sockets: A systematic review and meta-analysis
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Published on: October 18, 2021
Reza Amid1, Mahdi Kadkhodazadeh2, Anahita Moscowchi3
1Associate Professor, Department of Periodontics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Statement Of Problem:
Immediate implant placement provides a popular therapeutic option. However, compromised sockets may jeopardize the treatment outcome.
Purpose:
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.
Material And Methods:
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).
Results:
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.
Conclusions:
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.
