{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T17:29:38Z","timestamp":1792171778479,"version":"4.4.0"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,3,21]],"date-time":"2022-03-21T00:00:00Z","timestamp":1647820800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the effect of grafting the gap (SG) between the implant surface and alveolar socket on hard and soft tissue changes following single immediate implant placement (IIP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Two independent reviewers conducted an electronic literature search in Pubmed, Web of Science, Embase and Cochrane databases as well as a manual search to identify eligible clinical studies up to August 2021. Randomized controlled trials (RCTs) comparing IIP with and without SG were included for a qualitative analysis. Meta\u2010analyses were performed when possible.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 3627 records, 15 RCTs were selected and reported on 577 patients who received 604 single immediate implants (IIP\u2009+\u2009SG: 298 implants in 292 patients; IIP: 306 implants in 285 patients) with a mean follow\u2010up ranging from 4 to 36\u2009months. Two RCTs showed low risk of bias. Meta\u2010analysis revealed 0.59\u2009mm (95% CI [0.41; 0.78], <jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.001) or 54% less horizontal buccal bone resorption following IIP\u2009+\u2009SG when compared to IIP alone. In addition, 0.58\u2009mm (95% CI [0.28; 0.88], <jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.001) less apical migration of the midfacial soft tissue level was found when immediate implants were installed with SG. A trend towards less distal papillary recession was found (MD 0.60\u2009mm, 95% CI [\u22120.08; 1.28], <jats:italic>p<\/jats:italic>\u00a0=\u20090.080) when SG was performed, while mesial papillae appeared not significantly affected by SG. Vertical buccal bone changes were also not significantly affected by SG. Insufficient data were available for meta\u2010analyses on horizontal midfacial soft tissue changes, pink esthetic score, marginal bone level changes, probing depth and bleeding on probing. Based on GRADE guidelines, a moderate recommendation for SG following IIP can be made.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>SG may contribute to horizontal bone preservation and soft tissue stability at the midfacial aspect of immediate implants. Therefore, SG should be considered as an adjunct to IIP in clinical practice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cid.13079","type":"journal-article","created":{"date-parts":[[2022,3,21]],"date-time":"2022-03-21T16:14:40Z","timestamp":1647879280000},"page":"339-351","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":77,"title":["Immediate implant placement with or without socket grafting: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1547-057X","authenticated-orcid":false,"given":"Lorenz","family":"Seyssens","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Oral Health Sciences, Department of Periodontology and Oral Implantology Ghent University  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9lien","family":"Eeckhout","sequence":"additional","affiliation":[{"name":"Faculty 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