背景:前区的康复需要特定的成功条件,比如乳头的存在,出现简介,以及粉色和白色审美之间的平衡。
目的:本系统综述旨在评估与在前上区域立即植入和立即修复相关的美学风险,面部骨板可能缺失或不足。
方法:搜索是在PubMed中进行的,Embase,科克伦,丁香花,Scopus,Scielo,和谷歌学者数据库。该调查涉及2012年1月至2023年7月之间发表的临床研究和观察性研究。如果随访时间少于12个月,则排除研究。没有立即恢复或面部缺陷,重度吸烟者,或全身性疾病。使用ROBINS-I和Modified-CochraneRoB工具评估偏倚风险。
结果:本系统综述包括12项研究。面部钢板越薄,牙槽内牙龈萎缩或萎缩的风险越高。当瘦表型与皮瓣手术相关时,邻间凹陷增加。当进行立即植入物放置(IIP)和立即修复时,达到粉红色美学评分(PES)的增加。软组织增强可实现更多的牙龈水平稳定性。不管最初的表型如何,实现了美学结果。1项研究的偏倚风险较高,3项研究的偏倚风险中等。
结论:可以得出结论,即使在颊骨壁缺损或牙龈萎缩中,也可以获得与立即恢复相关的IIP治疗中的美学结果和最终PES或患者满意度指数的增加。不管他们的延伸。
BACKGROUND: Rehabilitation in the anterior region requires specific conditions for success, such as the presence of papilla, emergence profile, and balance between pink and white esthetic.
OBJECTIVE: This systematic review aimed to evaluate the esthetic risk associated with immediate implant placement with immediate restoration in the anterior superior area, where the facial bone plate may be absent or deficient.
METHODS: The search was done in PubMed, Embase, Cochrane, Lilacs, Scopus, Scielo, and Google Scholar databases. The investigation involved clinical studies and observational studies published between January 2012 and July 2023. Studies were excluded if there was less than 12-month follow-up, no immediate restoration or facial defect, heavy smokers, or systemic disease. The risk of bias was assessed using the ROBINS-I and Modified-Cochrane RoB tools.
RESULTS: Twelve studies were included in this systematic review. The thinner the facial plate, the higher the alveolus\'s risk of gingival recession or shrinkage. There was an increased interproximal recession when the thin phenotype was associated with flap surgery. An increase in pink esthetic score (PES) was reached when immediate implant placement (IIP) and immediate restoration were done. Soft tissue augmentation achieved more gingival-level stability. Regardless of the initial phenotype, an esthetic outcome was delivered. The risk of bias was high in 1 study and moderate in 3 studies.
CONCLUSIONS: It is possible to conclude that esthetic results and increased final PES or patient satisfaction index in IIP treatments associated with immediate restoration could be obtained even in buccal bone wall defects or gingival recession, regardless of their extension.