RESUMO
The aim of this systematic review and meta-analysis was to compare the survival rate of the implants and the peri-implant tissue changes associated with implants inserted in fresh extraction sockets and those inserted in healed sockets. This review has been registered at PROSPERO under the number CRD42016043309. A systematic search was conducted by two reviewers independently in the databases PubMed/MEDLINE, Embase, and the Cochrane Library using different search terms; articles published until November 2016 were searched for. The searches identified 30 eligible studies. A total of 3,049 implants were installed in a total of 1,435 patients with a mean age of 46.68 years and a minimum of 6 months of follow-up. The survival rate of delayed implants (98.38%) was significantly greater than immediate implants (95.21%) (p=.001). For the marginal bone loss (p=.32), implant stability quotients values (p=.44), and pocket probing depth (p=.94) there was no significant difference between the analysed groups. The immediate implants placed in fresh sockets should be performed with caution because of the significantly lower survival rates than delayed implants inserted in healed sockets.
Assuntos
Implantação Dentária Endóssea/métodos , Implantes Dentários para Um Único Dente , Alvéolo Dental/cirurgia , Falha de Restauração Dentária , Humanos , Carga Imediata em Implante Dentário/métodos , Extração DentáriaRESUMO
o prognóstico de fratura radicular, insucesso endodôntico ou de doença periodontal avançada não é favorável. O procedimento escolhido para tratar essas condições inclui extração do dente e instalação de implantes. A fratura radicular, em especial, geralmente está associada à perda óssea da parede vestibular e, consequentemente, ao aumento do risco estético do tratamento. Esse artigo descreve a técnica de Restauração Dentoalveolar Imediata, empregada para restauração óssea de alvéolo comprometido, simultaneamente à instalação do implante, com função imediata, em paciente com fratura coronorradicular na região do incisivo central superior. O paciente foi clinicamente e tomograficamente monitorado por um período de três anos...
The prognoses of root fracture, endodontic failure or advanced periodontal disease are not favorable. The treatment of choice for such patients includes removal of the tooth and implant therapy. Root fracture is commonly associated with bone loss, especially in the buccal wall, and the aesthetic risk is increased. This article describes the use of the Immediate Dentoalveolar Restoration technique to restore a compromised socket through bone graft, implant placement and immediate function in a patient with a complicated crown-root fracture in the maxillary central incisor. The patient was followed up clinically and tomographically for 3 years...