Bone response after immediate placement of implants in the anterior maxilla: a systematic review

  • Ricardo Junior Denardi
  • Ricarda Duarte da Silva
  • Geninho Thomé
  • Augusto Ricardo Andrighetto
  • Rubens Moreno de Freitas
  • Roberto Hideo Shimizu
  • Isabela Almeida Shimizu
  • Ana Cláudia Moreira MeloEmail author
Review Article



The objective of this systematic review was to assess the three-dimensional changes in bone tissue after immediate installation of a single implant in a fresh extraction socket in the anterior maxilla.


After defining a strategy, an electronic search was carried out using the databases PubMed, Embase, LILACS, Web of Science, Cochrane, and Scopus. In addition, the gray literature was also researched using Google Scholar and ProQuest. Two reviewers independently screened for eligible studies, assessed the methodological quality, and extracted the data. The inclusion criteria were observational studies and experimental studies that assessed bone response after the immediate installation of a single implant in a fresh extraction socket, immediately loaded or not, in the region between the maxillary canines. Studies were included in any language, with no publication date restrictions and with a minimum of 6 months of follow-up after the surgical procedure.


From a total of 3272 articles, only 12 studies met the inclusion criteria and were selected for the review. Bone remodeling after immediate installation of a dental implant was assessed using standardized periapical radiographs and cone beam computed tomography (CBCT).


It can be concluded that bone remodeling occurs after tooth extraction and immediate implant installation.


Dental implants Bone remodeling Tooth extraction Maxilla Esthetic area 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

As it is a systematic review, there is no need for ethical approval.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Ricardo Junior Denardi
    • 1
  • Ricarda Duarte da Silva
    • 1
  • Geninho Thomé
    • 1
  • Augusto Ricardo Andrighetto
    • 1
  • Rubens Moreno de Freitas
    • 1
  • Roberto Hideo Shimizu
    • 1
  • Isabela Almeida Shimizu
    • 1
  • Ana Cláudia Moreira Melo
    • 1
    Email author
  1. 1.ILAPEO CollegeCuritibaBrazil

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