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.

Tonetti, Maurizio S; Jung, Ronald E; Avila-Ortiz, Gustavo; Blanco, Juan; Cosyn, Jan; Fickl, Stefan; Figuero, Elena; Goldstein, Moshe; Graziani, Filippo; Madianos, Phoebus; Molina, Ana; Nart, Jose; Salvi, Giovanni E.; Sanz-Martin, Ignacio; Thoma, Daniel; Van Assche, Nele; Vignoletti, Fabio (2019). 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. Journal of clinical periodontology, 46(Suppl 21), pp. 183-194. Wiley 10.1111/jcpe.13131

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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.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology

UniBE Contributor:

Salvi, Giovanni Edoardo

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0303-6979

Publisher:

Wiley

Language:

English

Submitter:

Doris Burri

Date Deposited:

20 Jan 2020 15:48

Last Modified:

20 Jan 2020 15:48

Publisher DOI:

10.1111/jcpe.13131

PubMed ID:

31215112

Uncontrolled Keywords:

alveolar ridge preservation bone grafting clinical guidelines dental implant evidence-based dentistry implant performance implant placement/timing implant survival tooth extraction

BORIS DOI:

10.7892/boris.137792

URI:

https://boris.unibe.ch/id/eprint/137792

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