This review comparing immediate implant placement using flap or flapless surgery included 5 small RCTs involving a total of 140 patients. The findings suggested a benefit for flapless srugery but in addition to being small the studies were short term and 3 of the 5 studies were considered to be at high risk of bias.
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9 observational studies were included in this review comparing the immediate placement of implants in an infected site compared to a health site. The findings suggest no difference although the quality of the evidence is low to very low.
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Mark-Steven Howe considers this review of dental implants placed into fresh extraction socket. While 30 studies were included in the review he looks closely at the 3 studies with the longest follow up.
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This review of dental implants placed in infected sockets included 7 studies all considered to be a at high risk of bias. The findings suggest that failure rates are higher in infected sockets but the findings should be interpreted with caution.
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This review included 44 studies involving a total of 1170 patients and 1974 implants finding significant better outcome in favour of the implants placed in healed ridges (99.4% implant survival) compared with post-extraction implants (95.6% implant survival).
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