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Immediate implant placement in compromised sockets: A systematic review and meta-analysis
Reza Amid1, Mahdi Kadkhodazadeh2, Anahita Moscowchi3
1Associate Professor, Department of Periodontics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
The Journal of Prosthetic Dentistry
|November 13, 2021
Summary
Immediate implant placement in compromised sockets shows comparable survival and success rates to non-compromised sites. Further large-scale randomized clinical trials are recommended for definitive conclusions on this dental implant procedure.
Area of Science:
- Dentistry
- Oral Surgery
- Implantology
Background:
- Immediate implant placement is a common dental procedure.
- Compromised extraction sockets can pose challenges to treatment success.
Approach:
- A systematic review and meta-analysis evaluated outcomes of immediate implant placement in compromised sockets.
- Searched major databases up to January 2021 for relevant studies.
- Analyzed implant survival rates and success parameters using risk ratios and mean differences.
Key Points:
- 43 studies involving 4825 sockets were analyzed.
- No significant difference in implant survival rates between compromised and non-compromised sockets (RR=0.992, P=.246).
- No significant differences in marginal bone level or esthetic parameters were observed.
Conclusions:
- Immediate implant placement in compromised sites is a viable option with similar survival and success rates.
- Further high-quality randomized clinical trials are needed to confirm efficacy and safety.

