IMMEDIATE DENTAL IMPLANTS IN ESTHETIC ZONES: APPROACHES, BENEFITS AND CLINICAL CHALLENGES

Abstract

Oral rehabilitation has evolved with dental implants, offering effective solutions to restore aesthetics and function. Techniques such as immediate loading and bone grafts have expanded possibilities, reducing time and increasing efficiency, especially in aesthetic zones, as long as they are well-planned. This study aims to optimize these clinical practices. The general objective of this study was to understand the scientific literature on the installation of dental implants in aesthetic areas. This narrative review was carried out to compile and critically analyze the scientific literature on dental implants in esthetic zones, considering their indications, benefits, and challenges. The search was carried out in electronic databases, including PubMed, Scopus, Web of Science, Latin American and Caribbean Literature in Health Sciences, and Google Scholar, selecting articles published in English and Spanish, with no limit on publication date. Immediate implant placement in fresh sockets offers benefits such as reduced bone resorption, aesthetic preservation, and decreased treatment time. The immediate loading technique combined with immediate implants has high success rates, as long as it is accompanied by careful planning and detailed diagnosis. Although advantageous, its application is limited by factors such as bone quality, vestibular wall integrity, and systemic and behavioral contraindications. Guided bone regeneration is effective in cases of significant bone loss. Despite the advances, additional studies are needed to optimize the protocols, especially in aesthetic zones.