Soft and Hard Tissue Grafting in Immediate Implant Therapy: A Narrative Review

Carlos A. Jurado; Fabio Andretti; Gerardo Guzman-Perez; Mark Adam Antal; Silvia Rojas-Rueda; Franciele Floriani; Kelvin I. Afrashtehfar; Nicholas G. Fischer

doi:10.3390/medicina61101769

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Soft and Hard Tissue Grafting in Immediate Implant Therapy: A Narrative Review

Journal article

Open access

Peer reviewed

Soft and Hard Tissue Grafting in Immediate Implant Therapy: A Narrative Review

Carlos A. Jurado, Fabio Andretti, Gerardo Guzman-Perez, Mark Adam Antal, Silvia Rojas-Rueda, Franciele Floriani, Kelvin I. Afrashtehfar and Nicholas G. Fischer

Medicina (Kaunas, Lithuania), Vol.61(10), 1769

09/30/2025

DOI: 10.3390/medicina61101769

PMCID: PMC12565822

PMID: 41155756

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Abstract

Background and Objectives: Immediate implant placement in the esthetic zone presents challenges in maintaining peri-implant tissues due to post-extraction remodeling. Bone grafting has been proposed to support tissue preservation and improve esthetic outcomes. This article reviews the role of grafting in clinical studies and case reports. Materials and Methods: A literature search on PubMed and Google Scholar identified studies focusing on immediate implant placement with grafting. The search strategy included articles from 2012 to 2025, in English, from peer-reviewed journals. Results: Implant survival is possible without grafting in ideal cases, but grafting is often essential in patients with thin biotypes or esthetic demands. Technique and material selection are critical. The socket shield technique shows promise in preserving buccal tissues despite its complexity. Case reports demonstrated stable soft tissues and favorable esthetic outcomes. Conclusions: Grafting should be tailored to the clinical situation. While not always necessary, it is often crucial in compromised sites to ensure long-term esthetic success. Current literature supports predictable outcomes with appropriate grafting protocols.

dental implants

Immediate Dental Implant Loading

bone transplantation

guided tissue regeneration

periodontal

alveolar ridge preservation

Details

Title: Subtitle: Soft and Hard Tissue Grafting in Immediate Implant Therapy: A Narrative Review
Creators: Carlos A. Jurado - University of Tennessee Health Science Center
Fabio Andretti - University of Tennessee Health Science Center
Gerardo Guzman-Perez
Mark Adam Antal - University of Szeged
Silvia Rojas-Rueda - University of Alabama at Birmingham
Franciele Floriani - University of Iowa
Kelvin I. Afrashtehfar - University of Bern
Nicholas G. Fischer - University of Minnesota
Resource Type: Journal article
Publication Details: Medicina (Kaunas, Lithuania), Vol.61(10), 1769
DOI: 10.3390/medicina61101769
PMID: 41155756
PMCID: PMC12565822
NLM abbreviation: Medicina (Kaunas)
ISSN: 1648-9144
eISSN: 1648-9144
Publisher: MDPI
Language: English
Date published: 09/30/2025
Academic Unit: Prosthodontics
Record Identifier: 9984969105002771

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