Non-Cochrane · intervention · PM42782925
Clinical and Esthetic Outcomes of Vestibular Socket Therapy: A Systematic Review and Meta-Analysis.
Soliman Yasser Sherif, Krockow Nadine Gräfin von, Hassanein Fatma E A, et al. · Dentistry journal · 2026 · PubMed · doi:10.3390/dj14090538
Findings
8 findings
| Population | ||||
|---|---|---|---|---|
| Adults with non-restorable anterior maxillary teeth and thin or deficient facial socket walls | Vestibular socket therapy with immediate implant placement | Early implant placement with contour augmentation, partial extraction therapy, or dual-zone grafting | Apical buccal bone plate thickness 6–12 months · Egypt; private implant practices and university dental outpatient clinics · Random effects | MD 0.19 [-0.48, 0.87] Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias 3 studies · 89 participants |
| Adults with non-restorable anterior maxillary teeth and thin or deficient facial socket walls | Vestibular socket therapy with immediate implant placement | Early implant placement with contour augmentation, partial extraction therapy, or dual-zone grafting | Mid-root buccal bone plate thickness 6–12 months · Egypt; private implant practices and university dental outpatient clinics · Random effects | MD 0.32 [-0.45, 1.09] Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias 3 studies · 89 participants |
| Adults with non-restorable anterior maxillary teeth and thin or deficient facial socket walls | Vestibular socket therapy with immediate implant placement | Early implant placement with contour augmentation, partial extraction therapy, or dual-zone grafting | Crestal buccal bone plate thickness 6–12 months · Egypt; private implant practices and university dental outpatient clinics · Random effects | MD 0.24 [-0.13, 0.61] Very low Downgraded: risk of bias, imprecision, publication bias 3 studies · 89 participants |
| Adults with non-restorable anterior maxillary teeth and thin or deficient facial socket walls | Vestibular socket therapy with immediate implant placement | Early implant placement with contour augmentation, partial extraction therapy, or dual-zone grafting | Crestal buccal bone plate thickness 6–12 months · Egypt; private implant practices and university dental outpatient clinics · Common effect | MD 0.33 [0.09, 0.56] GRADE not reported 3 studies · 89 participants |
| Adults with non-restorable anterior maxillary teeth and thin or deficient facial socket walls | Vestibular socket therapy with immediate implant placement | Early implant placement with contour augmentation, partial extraction therapy, or dual-zone grafting | Mid-root buccal bone plate thickness 6–12 months · Egypt; private implant practices and university dental outpatient clinics · Common effect | MD 0.43 [0.14, 0.73] GRADE not reported 3 studies · 89 participants |
| Adults with non-restorable anterior maxillary teeth and thin or deficient facial socket walls | Vestibular socket therapy with immediate implant placement | Early implant placement with contour augmentation, partial extraction therapy, or dual-zone grafting | Apical buccal bone plate thickness 6–12 months · Egypt; private implant practices and university dental outpatient clinics · Common effect | MD 0.23 [-0.08, 0.53] GRADE not reported 3 studies · 89 participants |
| Adults receiving implants in compromised or thin-walled fresh extraction sockets in the maxillary esthetic zone (all arms of the 7 included RCTs) | Immediate implant placement with vestibular socket therapy (all trial arms aggregated, including comparator arms) | None (single-group aggregate across trials) | Postoperative complications (shield exposure, peri-implantitis, wound dehiscence, membrane exposure) Final follow-up of each trial (6-12 months) · Private implant practices and university dental outpatient clinics, Egypt | Proportion (%) 0 GRADE not reported 7 studies · 186 participants |
| Adults receiving implants in maxillary esthetic zone | Vestibular socket therapy and comparator protocols across trial arms | None | Implant survival Final follow-up · Egypt | Proportion 0.995 GRADE not reported 7 studies · 186 participants |
Included primary studies 14
Open in Studies| Study | Year | Also included by | Outcomes it informs here | Trial data |
|---|---|---|---|---|
| Elaskary 2022a Immediate implant placement utilizing vestibular socket therapy versus early implant placement with contour augmentation for… DOI:10.1111/cid.13120 | 2022 | this review only | not stated | not extracted yet |
| ElAskary 2022a Immediate implant placement utilizing vestibular socket therapy versus early implant placement with contour augmentation for… PMID:35811090 | 2022 | this review only | not stated | not extracted yet |
| Elaskary 2022b Does Grafting the Jumping Gap in Immediately Placed Anterior Implants Using Vestibular Socket Therapy Influence the Labial Bone Thickness? DOI:10.1016/j.joms.2022.05.001 | 2022 | this review only | not stated | not extracted yet |
| ElAskary 2022b Does Grafting the Jumping Gap in Immediately Placed Anterior Implants Using Vestibular Socket Therapy Influence the Labial Bone Thickness? PMID:35688272 | 2022 | this review only | not stated | not extracted yet |
| Elaskary 2023 Immediate Implant Placement in Intact Fresh Extraction Sockets Using Vestibular Socket Therapy Versus Partial Extraction Therapy in the… DOI:10.11607/jomi.9973 | 2023 | this review only | not stated | not extracted yet |
| ElAskary 2023 Immediate Implant Placement in Intact Fresh Extraction Sockets Using Vestibular Socket Therapy Versus Partial Extraction Therapy in the… PMID:37279214 | 2023 | this review only | not stated | not extracted yet |
| Elaskary 2024 The bone shielding versus dual‐zone concept in treating thin‐walled fresh extraction sockets with immediate implant placement: Soft and… DOI:10.1111/cid.13275 | 2023 | this review only | not stated | not extracted yet |
| ElAskary 2024 The bone shielding versus dual-zone concept in treating thin-walled fresh extraction sockets with immediate implant placement: Soft and… PMID:37669913 | 2024 | this review only | not stated | not extracted yet |
| Ellithy 2024 Immediate implant placement in compromised extraction sockets using vestibular socket therapy with acellular dermal matrix versus… DOI:10.1007/s00784-024-06065-8 | 2024 | this review only | not stated | not extracted yet |
| Ellithy 2024 Immediate implant placement in compromised extraction sockets using vestibular socket therapy with acellular dermal matrix versus… PMID:39604639 | 2024 | this review only | not stated | not extracted yet |
| Ghallab 2023 A novel atraumatic extraction technique using vestibular socket therapy for immediate implant placement: a randomized controlled clinical… DOI:10.1007/s10006-022-01089-4 | 2022 | this review only | not stated | not extracted yet |
| Ghallab 2023 A novel atraumatic extraction technique using vestibular socket therapy for immediate implant placement: a randomized controlled clinical… PMID:35718834 | 2023 | this review only | not stated | not extracted yet |
| Hamed 2023 Effect of three different grafting materials on immediate implant placement using vestibular socket therapy in class II extraction sockets… DOI:10.1186/s12903-023-03345-9 | 2023 | this review only | not stated | not extracted yet |
| Hamed 2023 Effect of three different grafting materials on immediate implant placement using vestibular socket therapy in class II extraction sockets… PMID:37658342 | 2023 | this review only | not stated | not extracted yet |
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Adults with non-restorable single teeth in the esthetic zone with thin or deficient labial bone walls covered by soft tissue (compromised fresh extraction sockets) | 186 adults in 7 RCTs (Egypt; ages 18-58); Type II deficient sockets (n=4), intact thin-walled Type I sockets (n=2), Type II extraction-technique trial (n=1) |
| Intervention | Vestibular socket therapy with immediate implant placement | VST with immediate implant placement (n=7; 15 intervention arms) |
| Comparison | Any recognized socket-management approach at the time of implant placement (conventional immediate or early implant placement techniques, including PET and early placement with contour augmentation) | Early placement with contour augmentation (n=1); partial extraction therapy (n=1); dual-zone grafting (n=1); within-VST variants: conventional incisal extraction (n=1), ungrafted jumping gap (n=1), alternative grafting materials (n=1), connective tissue graft vs acellular dermal matrix (n=1) |
| Outcomes | Primary: final buccal bone plate thickness (CBCT; crestal, mid-implant, apical). Secondary: implant survival, soft tissue stability, mid-facial recession, papilla position, peri-implant soft tissue contour, Pink Esthetic Score; patient-reported satisfaction and postoperative experience when available | Final buccal bone plate thickness crestal, mid-root, apical (n=3 pooled); implant survival (n=7); postoperative complications (n=7); mid-facial recession (n=4); papilla change (n=3); Pink Esthetic Score (n=4); probing depth (n=1); mucosal thickness (n=1) |
| Study designs | Randomized controlled trials published from 2020 | Randomized controlled trials (n=7) |
| Timing | Buccal bone thickness 6-12 months; implant survival 12-24 months | 6-12 months |
AMSTAR 2 items
Two independent extractors rated each item. Their ratings are shown side by side because they have not been reconciled yet. The overall rating follows Shea et al. 2017: one critical flaw gives Low, more than one gives Critically Low.
| Item | Extractor A | Extractor B | Agree |
|---|---|---|---|
| 1Research question includes PICO components | Yes | Yes | yes |
| 2Protocol established before the reviewcritical | Yes | Partial Yes | no |
| 3Choice of study designs explained | No | Yes | no |
| 4Comprehensive literature searchcritical | Partial Yes | Yes | no |
| 5Study selection in duplicate | Yes | Yes | yes |
| 6Data extraction in duplicate | Yes | Yes | yes |
| 7List of excluded studies with reasonscritical | No | No | yes |
| 8Included studies described in detail | Yes | Yes | yes |
| 9Risk of bias assessed satisfactorilycritical | RCT: Yes · NRSI: N/A | RCT: Yes · NRSI: N/A | yes |
| 10Funding of included studies reported | No | No | yes |
| 11Appropriate meta-analysis methodscritical | RCT: Yes · NRSI: N/A | RCT: Yes · NRSI: N/A | yes |
| 12Impact of risk of bias on the pooled results | No | No | yes |
| 13Risk of bias accounted for in interpretationcritical | Yes | Yes | yes |
| 14Heterogeneity explained | Yes | Yes | yes |
| 15Publication bias investigatedcritical | Yes | No | no |
| 16Conflicts of interest reported | Yes | Yes | yes |
| Overall | Low | Critically Low | no |