Augmentation versus No Augmentation for Immediate Postextraction Implants
Purpose. To assess the effects of augmentation versus no augmentation in patients restored with immediate postextraction single-tooth implants on implant failure and patient satisfaction. Materials and methods. We searched the Cochrane Oral Health Group Trial Register, Cochrane Central Register of C...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | International Journal of Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2018/5209108 |
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| author | Huda Hamed Basher Mohamed Asma M. Serag Eldien Amr Zahran |
| author_facet | Huda Hamed Basher Mohamed Asma M. Serag Eldien Amr Zahran |
| author_sort | Huda Hamed Basher Mohamed |
| collection | DOAJ |
| description | Purpose. To assess the effects of augmentation versus no augmentation in patients restored with immediate postextraction single-tooth implants on implant failure and patient satisfaction. Materials and methods. We searched the Cochrane Oral Health Group Trial Register, Cochrane Central Register of Controlled Trials, MEDLINE, and the WHO International Clinical Trial Registry Platform (22 March 2017). Two reviewers independently assessed trials for inclusion and risk of bias, extracted data, and checked for accuracy. We have expressed results as risk ratio or mean differences, together with their 95% confidence intervals. Results. We included six studies (287 participants). Two trials compared no augmentation versus bone graft augmentation and reported no implant failures in both groups after a follow-up period of 6 months (20 implants) and 1 year (34 implants). One trial compared bone graft augmentation versus membrane augmentation and reported no difference in implant failure between both groups after 6 months (risk ratio (RR) 0.98, 95% confidence interval (CI) 0.06 to 15.31) or 1 year of follow-up (RR 0.33, 95% CI 0.01 to 7.86), and no implants were lost after 3 years. Three trials compared membrane augmentation versus combined bone graft and membrane augmentation, and there was no difference between the groups after six months of follow-up in implant failure (RR 5.13, 95% CI 0.63 to 41.93) or after 1 year (RR 0.38, 95% CI 0.02 to 9.05). There was insufficient evidence regarding patient satisfaction in all the included trials. Conclusions. In patients restored with immediate postextraction single-tooth implants, there is insufficient evidence to recommend simultaneous augmentation or a certain augmentation protocol to enhance implant survival and patient satisfaction. This trial is registered with PROSPERO (CRD42017054439). |
| format | Article |
| id | doaj-art-93aeec0001e4443ba6b4c94203ab68c2 |
| institution | Kabale University |
| issn | 1687-8728 1687-8736 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Dentistry |
| spelling | doaj-art-93aeec0001e4443ba6b4c94203ab68c22025-02-03T06:11:32ZengWileyInternational Journal of Dentistry1687-87281687-87362018-01-01201810.1155/2018/52091085209108Augmentation versus No Augmentation for Immediate Postextraction ImplantsHuda Hamed Basher Mohamed0Asma M. Serag Eldien1Amr Zahran2PhD Degree Candidate, Department of Oral Medicine, Oral Diagnosis and Periodontology, Faculty of Oral and Dental Medicine, Cairo University, Giza, EgyptLecturer, Department of Periodontology, 6 October University, Giza, EgyptProfessor of Oral Medicine and Periodontology, Faculty of Oral and Dental Medicine, Oral Medicine and Periodontology Department, Cairo University, Giza, EgyptPurpose. To assess the effects of augmentation versus no augmentation in patients restored with immediate postextraction single-tooth implants on implant failure and patient satisfaction. Materials and methods. We searched the Cochrane Oral Health Group Trial Register, Cochrane Central Register of Controlled Trials, MEDLINE, and the WHO International Clinical Trial Registry Platform (22 March 2017). Two reviewers independently assessed trials for inclusion and risk of bias, extracted data, and checked for accuracy. We have expressed results as risk ratio or mean differences, together with their 95% confidence intervals. Results. We included six studies (287 participants). Two trials compared no augmentation versus bone graft augmentation and reported no implant failures in both groups after a follow-up period of 6 months (20 implants) and 1 year (34 implants). One trial compared bone graft augmentation versus membrane augmentation and reported no difference in implant failure between both groups after 6 months (risk ratio (RR) 0.98, 95% confidence interval (CI) 0.06 to 15.31) or 1 year of follow-up (RR 0.33, 95% CI 0.01 to 7.86), and no implants were lost after 3 years. Three trials compared membrane augmentation versus combined bone graft and membrane augmentation, and there was no difference between the groups after six months of follow-up in implant failure (RR 5.13, 95% CI 0.63 to 41.93) or after 1 year (RR 0.38, 95% CI 0.02 to 9.05). There was insufficient evidence regarding patient satisfaction in all the included trials. Conclusions. In patients restored with immediate postextraction single-tooth implants, there is insufficient evidence to recommend simultaneous augmentation or a certain augmentation protocol to enhance implant survival and patient satisfaction. This trial is registered with PROSPERO (CRD42017054439).http://dx.doi.org/10.1155/2018/5209108 |
| spellingShingle | Huda Hamed Basher Mohamed Asma M. Serag Eldien Amr Zahran Augmentation versus No Augmentation for Immediate Postextraction Implants International Journal of Dentistry |
| title | Augmentation versus No Augmentation for Immediate Postextraction Implants |
| title_full | Augmentation versus No Augmentation for Immediate Postextraction Implants |
| title_fullStr | Augmentation versus No Augmentation for Immediate Postextraction Implants |
| title_full_unstemmed | Augmentation versus No Augmentation for Immediate Postextraction Implants |
| title_short | Augmentation versus No Augmentation for Immediate Postextraction Implants |
| title_sort | augmentation versus no augmentation for immediate postextraction implants |
| url | http://dx.doi.org/10.1155/2018/5209108 |
| work_keys_str_mv | AT hudahamedbashermohamed augmentationversusnoaugmentationforimmediatepostextractionimplants AT asmamserageldien augmentationversusnoaugmentationforimmediatepostextractionimplants AT amrzahran augmentationversusnoaugmentationforimmediatepostextractionimplants |