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| Format: | Artículo Open Access |
| Publié: |
Wiley
2025
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| Accès en ligne: | https://onlinelibrary.wiley.com/doi/10.1111/jerd.70085 |
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- Long Term Clinical and Aesthetic Outcomes of Implants Placed With Immediate and Early Protocol in the Anterior Maxilla: A Systematic Review Thomas Briggs Himanshu Arora Saso Ivanovski Journal of Esthetic and Restorative Dentistry ABSTRACT Objectives The aim of this review was to assess the long‐term clinical and aesthetic outcomes of implants placed with immediate and early protocols in the anterior maxilla with a follow‐up greater than 5 years. Materials and Methods An electronic search in Pubmed, Embase, CINAHL via EBSCO, and the Cochrane database was performed to identify studies on single‐tooth implants placed with immediate (Type 1) and early (Type 2) placement protocols in the anterior maxilla that reported outcomes on aesthetics, hard and soft tissue changes with a mean follow up ≥ 5 years. Results Fifteen studies on immediate and early protocol single implants placed in the anterior maxilla with a ≥ 5 year follow up were included. A lack of studies comparing the two placement protocols was observed. Soft tissue changes were found to be acceptable for immediately placed implants, with seven studies reporting mean mid‐buccal gingival recession of 0.15 ± 0.27 mm and mean papillary height loss of 0.07 mm mesial and 0.20 mm distal after a follow up of ≥ 5 years. Advanced buccal recession (> 1 mm) occurred in 12.17% of cases. Ten of the 15 included studies reported a mean bone loss of 0.68 ± 0.42 mm. Favorable aesthetic outcomes were reported by most studies with a 2.83% incidence of aesthetic failures (aesthetic score < 50% of maximum achievable). The few studies that reported on patient‐centered outcomes showed a high level of patient satisfaction post treatment. Conclusions Immediate and early implant placement protocols showed acceptable soft tissue and aesthetic outcomes, with suboptimal aesthetic outcomes reported in 2.83% of cases. More long‐term follow‐up studies are necessary to identify factors that influence aesthetic outcomes in implants placed with various placement protocols in the anterior maxilla. 10.1111/jerd.70085 http://onlinelibrary.wiley.com/termsAndConditions#vor