Immediate Implant Placement in Non-Infected Sockets versus Infected Sockets: a Systematic Review and Meta-Analysis

Bibliographic Details
Title: Immediate Implant Placement in Non-Infected Sockets versus Infected Sockets: a Systematic Review and Meta-Analysis
Authors: Aza Saijeva, Gintaras Juodzbalys
Source: eJournal of Oral Maxillofacial Research, Vol 11, Iss 2, p e1 (2020)
Publisher Information: Stilus Optimus, 2020.
Publication Year: 2020
Collection: LCC:Dentistry
Subject Terms: dental implantation, dental implants, infection, periapical granuloma, tooth socket, Dentistry, RK1-715
More Details: Objectives: The aim of this systematic review is to compare immediate implant placement in infected extraction sockets with non-infected extraction sockets in terms of implant survival and function. Material and Methods: An electronic search was conducted in PubMed, ScienceDirect, ISI Web of Knowledge and Google Scholar between January 2010 and February 2020. Studies evaluating implant survival rate and main clinical parameters were included for a qualitative and quantitative analysis. Results: In total, nine studies were included and a pool of 2281 sockets were analysed. Compared with the non-infected group, the infected group showed no significant differences in implant survival rates (risk ratio [RR] = 0.99; 95% confidence interval [CI] = 0.98 to 1; P = 0.08). No significant statistical differences were found in marginal bone level (mean difference [MD] = -0.03; 95% CI = -0.1 to 0.04; P = 0.41), marginal gingival level (MD = -0.07; 95% CI = -0.17 to 0.04; P = 0.23), probing depth (MD = 0.06; 95% CI = -0.24 to 0.36; P = 0.7), modified bleeding index (MD = -0.00162196; 95% CI = -0.09 to 0.09; P = 0.97) and slight but significant changes were seen in width of keratinized gingiva (MD = 0.25; 95% CI = -0.3 to 0.8; P = 0.38) between the groups at the latest follow-up. Conclusions: There were no significant difference in implant survival rates, marginal bone level, marginal gingival level, modified bleeding index and probing depth between infected sockets and non-infected sockets. However, slight but significant changes were seen in width of keratinized gingiva favouring the non-infected group.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2029-283X
Relation: https://www.ejomr.org/JOMR/archives/2020/2/e1/v11n2e1ht.htm; https://doaj.org/toc/2029-283X
DOI: 10.5037/jomr.2020.11201
Access URL: https://doaj.org/article/1aa0a712a2e64f9eb580c459688a63a0
Accession Number: edsdoj.1aa0a712a2e64f9eb580c459688a63a0
Database: Directory of Open Access Journals
More Details
ISSN:2029283X
DOI:10.5037/jomr.2020.11201
Published in:eJournal of Oral Maxillofacial Research
Language:English