Abstract
The present systematic review and meta-analysis has systematically reviewed and analyzed dental implant failure for the implants placed in the esthetic zone. An electronic database search was performed in PubMed and ScienceDirect, including a manual search through the references usingappropriate keywords and the PICO(population, intervention, control, and outcomes) format for the inclusion criteria. A total of 11 relevant articles were included. The quality of the randomized controlled trial(RCT)studies was assessed using the Cochrane Risk of Bias tool while the quality ofnon-randomized studies was assessed using the Newcastle Ottawa scale. Of the 11 articles included, 5 were RCTs, and 6 were non-randomized.The overall failure rate was found to be 2% (95% CI; 0.00-0.03%). The percentage marginal bone loss was estimated to be 1% (95% CI; 0.00 - 0.02%) and the mean and proportion pink esthetic scores were approximately 11.75 (0.43%) with 2% mid-facial soft tissue recession and the mesial and distal papillary recession was 0.02% and 0.01%, respectively. Based on this systematic review and meta-analysis, the rate of dental implant failurefor implant placement in the esthetic zone was minimal. In addition, 1% proportional marginal bone loss and moderately high esthetic scores were found.
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