Skip to main content Skip to main navigation menu Skip to site footer
Review
Published: 2022-06-01

Clinical investigation of the main approaches to exodontics and aesthetic preservation for the dental implant: a concise systematic review

UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
Exodontia Dental implant Dental extraction Minimally traumatic extraction Aesthetics

Abstract

Introduction: In the context of tooth extraction and aesthetic care, steps are needed for tooth extraction. Alveolar bone resorption after tooth extraction often leads to situations where the long-term function and esthetic success of dental implant restorations is a challenge. Thus, the Socket shield has been described as an alternative technique to maintain the alveolar ridge in the placement of immediate implants. Objective: Conducted a concise systematic review of key considerations and clinical outcomes of minimally traumatic treatment of tooth extraction and dental implants. Methods: The present study followed a concise systematic review model, following the rules of systematic review – PRISMA. The search strategy was performed in the PubMed, Cochrane Library, Web of Science and Scopus, and Google Scholar databases. The present study was carried out from January to March 2022. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 112 articles were found. A total of 47 articles were fully evaluated and 26 were included in this study. The results suggest that the adjunctive use of connective tissue grafting is not mandatory to achieve successful esthetic results for well-planned immediate implant placement with non-functional immediate provisional restoration in a fresh extraction socket. Still, the success/modified success rate, survival, mean resorption of the oral plate, and patient satisfaction, there were no differences between immediate implants placed with a flap or with an envelope flap of minimal thickness.

References

  1. Juodzbalys G, Stumbras A, Goyushov S, Duruel O, Tözüm TF. Morphological Classification of Extraction Sockets and Clinical Decision Tree for Socket Preservation/Augmentation after Tooth Extraction: a Systematic Review. J Oral Maxillofac Res. 2019 Sep 5;10(3):e3. doi: 10.5037/jomr.2019.10303. PMID: 31620265; PMCID: PMC6788426.
  2. Krasny M, Krasny K, Kamiński A. Aesthetic and functional restoration of the dental arch continuity in difficult cases of impacted teeth within the frontal segment. Cell Tissue Bank. 2021 Jul 14. doi: 10.1007/s10561-021-09943-7. Epub ahead of print. PMID: 34263377.
  3. Sáez-Alcaide LM, González Fernández-Tresguerres F, Cortés-Bretón Brinkmann J, Segura-Mori L, Iglesias-Velázquez O, Pérez-González F, López-Pintor RM, Torres García-Denche J. Socket shield technique: A systematic review of human studies. Ann Anat. 2021 Nov;238:151779. doi: 10.1016/j.aanat.2021.151779. Epub 2021 Jun 1. PMID: 34087383.
  4. Londono J, Ghasemi S, Lawand G, Dashti M. Evaluation of the golden proportion in the natural dentition: A systematic review and meta-analysis. J Prosthet Dent. 2021 Sep 3:S0022-3913(21)00415-7. doi: 10.1016/j.prosdent.2021.07.020. Epub ahead of print. PMID: 34489087.
  5. Saadoun AP. Anterior Maxillary Growth in Implantology: Complications, Management, and Prevention. Compend Contin Educ Dent. 2021 Sep;42(8):e1-e4. PMID: 34433284.
  6. Muska, E. et al. Atraumatic vertical tooth extraction: a proof of principle clinical study of a novel system. OralMaxillofac. Surg., Basel, 2013, v. 116, n. 5, p.303-310.
  7. Hornig, H. P.; Offermann, T. Implant preparation: atraumatic tooth extraction using easy X Trac system tooth extractor. Dent. Products Report, 2005, [S. l.], v. 7, no. 1, p. 68-69.
  8. Adell R, Lekholm U, Rockler B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981 Dec; 10(6):387-416.
  9. Kois JC, Kan JY. Predictable peri-implant gingival aesthetics: surgical and prosthodontic rationales. Pract Proced Aesthet Dent., 2001 Nov-Dec;13(9):691-8.
  10. Farina, R.; Trombelli, L. Wound healing of extraction sockets.Endod.Topics, Oxford, 2011, v. 25, no. 1, p. 16-43.
  11. Ferrantino L, Camurati A, Gambino P, Marzolo M, Trisciuoglio D, Santoro G, Farina V, Fontana F, Asa'ad F, Simion M. Aesthetic outcomes of non-functional immediately restored single post-extraction implants with and without connective tissue graft: A multicentre randomized controlled trial. Clin Oral Implants Res. 2021 Jun;32(6):684-694. doi: 10.1111/clr.13733. Epub 2021 Mar 24. PMID: 33638216.
  12. Ogawa T, Sitalaksmi RM, Miyashita M, Maekawa K, Ryu M, Kimura-Ono A, Suganuma T, Kikutani T, Fujisawa M, Tamaki K, Kuboki T. Effectiveness of the socket shield technique in dental implant: A systematic review. J Prosthodont Res. 2022 Jan 11;66(1):12-18. doi: 10.2186/jpr.JPR_D_20_00054. Epub 2021 Mar 9. PMID: 33692284.
  13. Rupchandani R. Do immediately placed implants have better outcomes when placed with a minimal split-thickness envelope flap? Evid Based Dent. 2021 Dec;22(4):126-127. doi: 10.1038/s41432-021-0215-x. Epub 2021 Dec 16. Erratum in: Evid Based Dent. 2022 Mar;23(1):5. PMID: 34916634.
  14. Batisse C, Cousson PY, Nicolas E, Bessadet M. Aesthetic and Functional Rehabilitation of Patients with Genetic Microdontia: A Multidisciplinary Approach. Healthcare (Basel). 2022 Mar 5;10(3):485. doi: 10.3390/healthcare10030485. PMID: 35326963; PMCID: PMC8952258.
  15. Salomão, M; Alvarez, F. K.Siqueira, J. T. T. Regeneração óssea guiada em defeitos extensos pós-exodontias utilizando membrana exposta ao meio bucal. ImplantNews, São Paulo, 2010, v. 7, n. 6, p. 753-759.
  16. Oghli, A. A.; Steveling, H. Ridge preservation following tooth extraction: a comparison between atraumatic extraction and socket seal surgery. Quintessence Int., Berlin, 2009, v. 41, no.7, p. 605-609.
  17. Regev E, Lustmann, J.; Nashef, R. Atraumatic teeth extraction in bisphosphonate-treated patients. J. Oral Maxillofac.Surg., Philadelphia, 2008, v.66, no. 6, p. 1157-1161.
  18. Schropp, L. et al. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int. J. Periodontics Restor.Dent., Chicago, 2003, v. 23, no. 1, p. 213-323.
  19. Dym H, Weiss, A. Exodontia: Tips and Techniques for Better Outcomes. Dent.Clin. N. Am.,New York, 2012, v. 56, no.1, p. 245–266.
  20. Oliveira AC. et al. Implante imediato unitário em função imediata – relato de caso. RFO UPF,Passo Fundo, 2008, v. 13, n. 1, p. 70-74.
  21. Babbush, C. A. A. New atraumatic system for tooth removal and immediate implant restoration.Implant Dent., Baltimore, 2007, v. 6, no.2, p. 139-145.
  22. Meneses DR. Exodontiaatraumática e previsibilidade em reabilitação oral com implantes osseointegráveis: relato de casos clínicos aplicando o Sistema Brasileiro de Exodontia Atraumática Xt Lifting®. Rev. Port.Estomatol. Cir.Maxilofac., Lisboa, 2009, v. 50, n. 1, p. 11-17.
  23. Jayme S J. et al. Análise 3D por elementos initos e descriçãode dois casos clínicos sobre o uso de extratordentário vertical para diminuir o trauma ósseo.ImplantNews, São Paulo, 2013, v. 10, n.2, p. 193-200.
  24. Paolantonio M, Dolci M, Scarano A, d`Archivio D, di Placido G, Tumini V. Immediate implantation in fresh extraction sockets. A controlled clinical and histological study in man. J Periodontol. 2001 Nov; 72(11):1560-71.
  25. Franceschi RL, Drechsel L, Schuldt Filho G. Application of Immediate Dentoalveolar Restoration in Alveolus Compromised with Loss of Immediate Implant in Esthetic Area. Case Rep Dent. 2018 Jun 21;2018:1672170. doi: 10.1155/2018/1672170. PMID: 30034886; PMCID: PMC6033297.
  26. Clauser C, Sforza NM, Menini I, Kalemaj Z, Buti J; Collaborators of Accademia Toscana di Ricerca Odontostomatologica (ATRO) IPI Group. Immediate Postextraction Single-Tooth Implants and Provisional Crowns in the Esthetic Area: 2-year Results of a Cohort Prospective Multicenter Study- Patient-Centered Outcomes. Int J Oral Maxillofac Implants. 2020 Jul/Aug;35(4):833-840. doi: 10.11607/jomi.7203. PMID: 32724938.

How to Cite

Gonçalves, L. G., Silva dos Reis, W. R., Parra, M. de P., & Kassis, E. N. (2022). Clinical investigation of the main approaches to exodontics and aesthetic preservation for the dental implant: a concise systematic review. MedNEXT Journal of Medical and Health Sciences, 3(S3). https://doi.org/10.54448/mdnt22S318