Management of the extraction socket and timing of implant placement: Consensus report and clinical recommendations of group 3 of the XV European Workshop in Periodontology
| Autor: | Juan Blanco, Moshe Goldstein, Elena Figuero, Giovanni E. Salvi, Gustavo Avila-Ortiz, Ignacio Sanz-Martín, Stefan Fickl, Daniel S. Thoma, Phoebus N. Madianos, Jan Cosyn, Ronald E. Jung, Maurizio S. Tonetti, José Nart, Filippo Graziani, Fabio Vignoletti, Nele Van Assche, Ana Molina |
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| Přispěvatelé: | Surgical clinical sciences, Oral Health |
| Rok vydání: | 2019 |
| Předmět: |
bone grafting
Consensus Esthetics medicine.medical_treatment Dentistry Bone grafting Esthetics Dental 03 medical and health sciences 0302 clinical medicine Alveolar ridge Medicine Humans 030212 general & internal medicine Tooth Socket 610 Medicine & health Dental implant Dental alveolus Medicine(all) implant placement/timing Dental Implants dental implant business.industry Dental Implantation Endosseous implant survival 030206 dentistry Periodontology Evidence-based medicine Alveolar Ridge Augmentation alveolar ridge preservation clinical guidelines evidence-based dentistry implant performance tooth extraction Tooth Extraction Dental Implantation Systematic review Periodontics Dental business Endosseous Evidence-based dentistry |
| Zdroj: | Journal of clinical periodontology. 46 |
| ISSN: | 1600-051X |
| Popis: | Background The transition from a tooth requiring extraction to its replacement (with a dental implant) requires a series of clinical decisions related to timing, approach, materials, cost-effectiveness and the assessment of potential harm and patient preference. This workshop focused on the formulation of evidence-based consensus statements and clinical recommendations. Methods Four systematic reviews covering the areas of alveolar ridge preservation/bone grafting, immediate early and delayed implant placement and alveolar bone augmentation at the time of implant placement in a healed ridge formed the basis of the deliberations. The level of evidence supporting each consensus statement and its strength was described using a modification of the GRADE tool. Results The evidence base for each of the relevant topics was assessed and summarized in 23 consensus statements and 12 specific clinical recommendations. The group emphasized that the evidence base mostly relates to single tooth extraction/replacement; hence, external validity/applicability to multiple extractions requires careful consideration. The group identified six considerations that should assist clinicians in clinical decision-making: presence of infection, inability to achieve primary stability in the restoratively driven position, presence of a damaged alveolus, periodontal phenotype, aesthetic demands and systemic conditions. Conclusions A substantial and expanding evidence base is available to assist clinicians with clinical decision-making related to the transition from a tooth requiring extraction to its replacement with a dental implant. More high-quality research is needed for the development of evidence-based clinical guidelines. |
| Databáze: | OpenAIRE |
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