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

Share on Facebook Tweet this on Twitter Share on LinkedIn Share on Google+
Mark as read
Create a personal elf note about this blog
Profile photo of Derek Richards

Derek Richards

Derek Richards is a specialist in dental public health, Director of the Centre for Evidence-Based Dentistry and Specialist Advisor to the Scottish Dental Clinical Effectiveness Programme (SDCEP) Development Team. A former editor of the Evidence-Based Dentistry Journal and chief blogger for the Dental Elf website until December 2023. Derek has been involved with a wide range of evidence-based initiatives both nationally and internationally since 1994. Derek retired from the NHS in 2019 remaining as a part-time senior lecturer at Dundee Dental School until the end of 2023.

More posts - Website

Follow me here –