Exodonty associated with immediate implantation in Aesthetic Area

• Autor(a) principal: Tosto Dias, Luciana Fortes
• Data de Publicação: 2021
• Outros Autores: Figueiredo Passos, Eduardo Costa, Cicareli, Álvaro José
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: MedNEXT Journal of Medical and Health Sciences
• Texto Completo: https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/36
• topic: Exodontics; Immediate dental implant; Dental extraction; Minimally traumatic extraction; Aesthetics

Introduction: In the scenario of extraction associated with immediate implantation in the aesthetic area, tooth extraction is common in the daily clinical practice of the dentist, with the main causes of caries, periodontal disease, and coronal-radicular fractures. All extractions must be performed with precise indication, given defined prosthetic planning, thus avoiding an imbalance in the occlusion, swallowing, and aesthetics of the patient. Objective: To carry out a systematic review on the main approaches to extraction associated with immediate implantation in the aesthetic area. Methods: Followed a systematic review model (PRISMA). The search strategy was carried out in the PubMed, Embase, Ovid, Cochrane Library, Web Of Science, and Scopus databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: A total of 134 studies were found that were submitted to the eligibility analysis and, after that, 41 studies of high to medium quality and with risks of bias were selected that do not compromise the scientific basis of the studies. According to the main literary findings, the use of the technique of installing immediate implants, after extraction, requires planning and care in the management of soft tissues, to correct aesthetic sequelae. The use of precise and minimally traumatic techniques enabled satisfactory and functional aesthetic results, as well as improving the patient's aesthetics and self-esteem. Conclusion: The immediate implant placement procedure after tooth extraction preserves bone height and thickness, reduces treatment time and cost, in addition to maintaining the gingival architecture, being important for the aesthetic success of future prosthetic rehabilitation. Also, it presents success rates comparable to implants in fully healed edges, the extraction must be done in a minimally traumatic way, to preserve the maximum bone tissue. The horizontal defects present after the installation of the immediate implant (gaps), if they are less than or equal to 3mm, will heal with complete bone filling. However, if they are larger than 3mm, bone graft material and/or membrane should be used so that there is bone healing.