Insufficient evidence for timing of implant placement following extraction

shutterstock_70163050 dental implants

This systematic review publication based on a Cochrane review was first published in 2010 . The American Dental Association Centre for Evidence-based Dentistry has now published a critical summary of this review.

The review was of high quality, only considering randomised controlled trials comparing  immediate (I), immediate-delayed (ID) or delayed (D) implant placement.  However most of the included studies had high risk of bias and small sample sizes. Conflicts of interest were also noted in the majority of studies.

The appraiser noted that:-

The review fails to provide sufficient evidence for determining the optimal time for placing dental implants after tooth extraction and the need for bone augmentation procedures. It did not substantiate any benefits associated with I or ID implants. The patient should assume an important role in the treatment decision-making process. Factors such as aesthetics, cost, time, and side-effects may be considered.

Go to the ADA Critial Summary

Go to the original article summary

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Derek Richards

Derek Richards is the Director of the Centre for Evidence-based Dentistry, Editor of the Evidence-based Dentistry Journal, Consultant in Dental Public Health with Forth Valley Health Board and Honorary Senior Lecturer at Dundee & Glasgow Dental Schools. He helped to establish both the Centre for Evidence-based Dentistry and the Evidence-based Dentistry Journal. He has been involved with teaching EBD and a wide range of evidence-based initiatives both nationally and internationally since 1994.

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