Review Article

Augmentation versus No Augmentation for Immediate Postextraction Implants

Table 1

Characteristics of included studies.

Study IDMethodsParticipantsMean age (range), yearsInterventionsOutcomesFollow-upNote

Bottini, 2012Parallel design RCT where patients were randomly assigned to the two treatment groups40 (17F and 23M)22–80, mean (45–65)Group 1: immediate implants were inserted in association with a deantigenated collagenated bone substitute of porcine origin and were maintained in place by the use of equine collagen sponge. Group 2: immediate implants were placed with no grafting materialThe measurement of the buccolingual width, implant mobility, pain, suppuration, and peri-implant radiolucency6-monthItaly

Cornelini, 2004Parallel design RCT where patients were randomly assigned to treatment groups20 (11F-9M)21–60, mean 45Group 1: immediate implants with Bio-Oss (bovine-derived porous bone mineral matrix) covered by Bio-Gide membrane (pure collagen membrane). Group 2: immediate implants with Bio-Gide membrane alone.Proximal radiographic bone level, mucosal coverage of the implant, probing attachment level, oral hygiene status (plaque score) and soft tissue condition (mucositis score)6-monthCountry not stated

Daif, 2013Parallel design RCT where patients were randomly divided into two equal groups28 (18F and 10M)22–48, mean 34Group 1: immediate implants with pure-phase multiporous beta-TCP particles. Group 2: immediate implants with no filling materialsBone density, implant failure, and infection3 and 6 months after loading (implant loading three months after surgery)Egypt

De Angelis, 2011Multicenter parallel group RCT. Four computer-generated restricted random lists were created80Group 1: immediate implant with the bone substitute granules (Endobon®; Biomet 3i) and a resorbable collagen barrier (OsseoGuard®, Biomet 3i). Group 2: immediate implants with a resorbable collagen barrier (OsseoGuard®, Biomet 3i) aloneImplant failures, any biological or biomechanical complications, peri-implant marginal bone levels, esthetic evaluation of the vestibular and occlusal clinical pictures, and patient satisfaction1 year after loading (implant loading after 3-4 months)Italy

Gher, 1994Factorial design RCT. The patients were randomly assigned to four treatment groups according to implant type and use or nonuse of DFDBA at the time of implant placement36Group 1: Titanium plasma-sprayed implant 3 without DFDBA. Group 2: Titanium plasma-sprayed implant with DFDBA. Group 3: Hydroxyapatite-coated implant 1 without DFDBA. Group 4: Hydroxyapatite-coated implant with DFDBAImplant failure and crestal bone apposition measurements6-monthUSA

Prosper, 2003Parallel design RCT. The patients were divided randomly into 2 groups8321–75Group 1: immediate implants in combination with the use of synthetic hydroxyapatite and patients. Group 2: immediate implants combined with a bioabsorbable membrane based on polyglycolic and polylactic acid copolymersSoft-tissue examination, implant mobility, bone loss, and implant successEvery 3 months for an overall period of 4 yearsItaly