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Clinical outcomes of socket-shield technique and conventional immediate implantation: a Meta analysis |
KANG Shuai1,2, CAO Junkai1, HU Nan1, GU Bin1, WANG Yibo1, JIANG Yi1 |
1. Department of Stomatology, the First Medical Center of PLA General Hospital, Beijing 100853,China; 2. Department of Stomatology, No.989 Hospital of PLA,Luoyang 471031,China |
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Abstract Objective To assess the clinical outcomes of the socket-shield technique and conventional immediate implantation. Methods Such electronic databases as Cochrane library, Science Direct, Pubmed, Wanfang, CJFD, VIP, CQVIP and CBM were searched. Meta-analysis was performed by using Revman 5.4.1. Results Seven randomized controlled trials (RCTs) involving 238 implants were included. The socket-shield technique had the same success rate(100%)and initial stability[MD=0.58(-0.24,1.41),P=0.16>0.05] as the conventional immediate implantation (CII). The amount of vertical[MD=-0.49(-0.54,-0.45),P<0.05] and horizontal[MD=-0.26(-0.39,-0.12),P<0.05] bone resorption at 6 months after operation was smaller than that of CII, so was the amount of horizontal bone resorption at 12 months MD=-0.83[-0.91,-0.75] (P<0.05). A better aesthetic effect around the implant was achieved at 12 months after operation MD=1.30[0.93,1.66] (P<0.05). Conclusions The socket-shield technique can reduce the absorption of the labio-buccal bone plate and improve the aesthetic effect.
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Received: 14 February 2021
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