The potential benefit of socket preservation therapies was demonstrated result ing in significantly less vertical and horizontal contraction of the alveolar bone crest .
The scientific evidence does not provide clear guidelines in regards to the type of bio material , or surgical procedure , although a significant positive effect of the flapped surgery was observed .
There are no data available to draw conclusions on the consequences of such benefits on the long-term outcomes of implant therapy
OBJECTIVE This systematic review aims to evaluate the scientific evidence on the efficacy in the surgical protocol s design ed for preserving the alveolar ridge after tooth extraction and to evaluate how these techniques affect the placement of dental implants and the final implant supported restoration .
A prospective randomized clinical study of changes in soft tissue position following immediate and delayed implant placement.
PURPOSE The purpose of this investigation was to compare the efficacy of two therapeutic options-immediate implant placement and ridge preservation with delayed implant placement-in maintaining the position of the soft tissue margins following tooth extraction . MATERIAL S AND METHODS This r and omized controlled study evaluated apicocoronal changes in the midbuccal and proximal mucosal positions at implant placement sites from tooth extraction to 3 and 6 months following extraction . Twenty-four patients ( 26 sites ) r and omly received either immediate implant placement or ridge preservation ( grafting with freeze-dried bone allograft and a collagen membrane ) followed by implant placement 3 months later . Immediate placement sites received bone grafting for horizontal defects > 2 mm ( from implant to cortical wall ) . Soft tissue measurements , vertical measurements , and ridge width measurements were performed and compared for immediate versus delayed implants and thin versus thick biotype . RESULTS The midbuccal soft tissue margins showed minimal recession over 6 months from the time of extraction ( mean 0.17 + /- 0.47 mm ) , with no differences between treatment groups . Interproximal tissue height decreased significantly from extraction to 6 months ( mesial , 1.73 + /- 0.71 mm ; distal , 1.48 + /- 0.80 mm ) , with no significant differences between immediate and delayed placement . Immediate implant sites had greater reductions in ridge width 6 months after extraction than delayed placement sites . Tissue biotype failed to show any significant relationship with the changes identified . CONCLUSIONS This r and omized controlled study comparing soft tissue changes following extraction failed to identify differences between patients treated with immediate or delayed approaches for midbuccal or interproximal soft tissue margins , although greater decreases in ridge width were observed in sites lacking bone grafting . Both immediate and delayed treatment approaches appear to be appropriate following tooth extraction , with the preferred treatment based on factors other than result ant soft tissue changes
The potential benefit of socket preservation therapies was demonstrated result ing in significantly less vertical and horizontal contraction of the alveolar bone crest .
The scientific evidence does not provide clear guidelines in regards to the type of bio material , or surgical procedure , although a significant positive effect of the flapped surgery was observed .
There are no data available to draw conclusions on the consequences of such benefits on the long-term outcomes of implant therapy
OBJECTIVE This systematic review aims to evaluate the scientific evidence on the efficacy in the surgical protocol s design ed for preserving the alveolar ridge after tooth extraction and to evaluate how these techniques affect the placement of dental implants and the final implant supported restoration .