Clinical investigation of the main approaches to exodontics and aesthetic preservation for the dental implant: a concise systematic review

Introduction: In the context of tooth extraction and aesthetic care, steps are needed for tooth extraction. Alveolar bone resorption after tooth extraction often leads to situations where the long-term function and esthetic success of dental implant restorations is a challenge. Thus, the Socket shield has been described as an alternative technique to maintain the alveolar ridge in the placement of immediate implants. Objective: Conducted a concise systematic review of key considerations and clinical outcomes of minimally traumatic treatment of tooth extraction and dental implants. Methods: The present study followed a concise systematic review model, following the rules of systematic review – PRISMA. The search strategy was performed in the PubMed, Cochrane Library, Web of Science and Scopus, and Google Scholar databases. The present study was carried out from January to March 2022. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 112 articles were found. A total of 47 articles were fully evaluated and 26 were included in this study. The results suggest that the adjunctive use of connective tissue grafting is not mandatory to achieve successful esthetic results for well-planned immediate implant placement with non-functional immediate provisional restoration in a fresh extraction socket. Still, the success/modified success rate, survival, mean resorption of the oral plate, and patient satisfaction, there were no differences between immediate implants placed with a flap or with an envelope flap of minimal thickness